Individual
DR. GREGORY K. PENNISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6563 E 22ND ST, TUCSON, AZ 85710-5106
(520) 745-8101
Mailing address
6563 E. 22ND STREET, TUCSON, AZ 85710
(520) 745-8101
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3199
AZ
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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