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1710099114
DAVID J PENGILLY
BISMARCK, ND
NPI
1710099114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ND 6620)
Enumeration Date
2006-08-31
Last Update Date
2011-01-11
Business Address
DAVID J PENGILLY MD
1040 TACOMA AVENUE SOUTH
BISMARCK, ND 58504
Phone number: 701-323-6990
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Mailing Address
DAVID J PENGILLY MD
PO BOX 5501
BISMARCK, ND 58506-5501
Phone number: 701-323-6000
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