Individual
DR. SCOTT CHARLES PENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
401 BROADWAY ST S, JORDAN, MN 55352-1701
(952) 492-5253
(952) 456-6966
Mailing address
209 WATER ST, JORDAN, MN 55352-1518
(952) 492-5253
(952) 456-6966
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5879
MN
Other
Enumeration date
04/04/2013
Last updated
11/28/2018
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