IndividualActive
Gregory Pennock, MD
NPI 1700889607 · Cardiovascular Disease Physician · Sandpoint, ID
Provider details
- NPI number
- 1700889607
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M12621 (ID)
Practice location
423 N Third Ave Ste 335
Sandpoint, ID 83864
Phone: (208) 265-7070
Fax: (208) 265-7071
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Registry dates
- Enumerated
- 2005-05-24
- Last updated
- 2018-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.