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Individual
DR. JEFFREY A PENCE
Active
Individual
DR. JEFFREY A PENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC CCSP CSCS
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AO5225
IA
111NS0005X
Sports Physician Chiropractor
AO5225
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0270736
—
IA
01
—
27073
WELLMARK BC/BS
IA
01
—
350036056
RAILROAD MEDICARE
IA
Enumeration date
08/21/2006
Last updated
10/12/2017
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