Individual
DR. BENJAMIN PENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1011 N AVENUE G, CROWLEY, LA 70526-3733
(337) 250-4088
Mailing address
2326 EVERGLADE RD, MORSE, LA 70559-2100
(337) 458-1120
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1862
LA
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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