DR. Blake Robert Pennock II, DC

NPI #1053877159 in Flagstaff, Arizona

Provider Information

NPI Number
1053877159
Entity Type
Individual
Name
DR. Blake Robert Pennock II, DC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Chiropractor
Credential
DC
Enumeration Date
Feb 13, 2019
Last Updated
Feb 22, 2019

Practice Location

Address
1501 S YALE ST STE 250
State
Arizona
ZIP Code
86001-7336
Phone
(928) 557-0707

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Chiropractor

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