Blake Pennington
NPI #1366812679 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1366812679
- Entity Type
- Individual
- Name
- Blake Pennington
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Hearing Instrument Specialist
- Enumeration Date
- Sep 29, 2015
- Last Updated
- Sep 29, 2015
Practice Location
- Address
- 2548 LEMAY FERRY RD
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63125-3131
- Phone
- (314) 416-1415
Specialties & Taxonomy Codes
| Specialty |
|---|
| Hearing Instrument Specialist |
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