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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIMOTHY LEE PENDERGRASS, MD

Active

TIMOTHY LEE PENDERGRASS, MD is a Diagnostic Radiology healthcare provider located in DOVER AFB, Delaware. NPI 1588651020 is currently active in the NPPES registry. Verify at CMS.

Diagnostic Radiology · DOVER AFB, DE

Registration Details

NPI Number
1588651020
Provider Type
Individual
Gender
Male
NPI Issued
Sep 30, 2005 (20.842424812439 yrs)
Last Updated
Jan 22, 2008
License
5757 (ND)

Practice Information

Address
300 TUSKEGEE BLVD
436 MDG CC STE 1B22
DOVER AFB, DE, 199025300
Browse DE providers · Browse ZIP 19902
Phone
3026772525
Fax
3026772526
Primary Specialty
Diagnostic Radiology
2085R0202X

Other Diagnostic Radiology Providers in DOVER AFB, DE

Name Credential NPI
DR. GEOFFREY WALLACE CRAWLEY M.D. 1598755084
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.