Drpenner LLC

NPI #1992570550 in Caldwell, Idaho

Provider Information

NPI Number: 1992570550
Entity Type: Organization
Organization Name: Drpenner LLC
Primary Specialty: Chiropractor
Enumeration Date: Nov 22, 2023
Last Updated: Nov 22, 2023

Practice Location

Address: 108 E PINE ST
City: Caldwell
State: Idaho
ZIP Code: 83605-4836
Phone: (208) 459-0858

Authorized Official

Name: DEVON PENNER, D.C
Title: CHIROPRACTOR
Phone: (986) 837-7884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X
Chiropractor	111N00000X	Primary

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