Organization
DRPENNER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVON PENNER D.C (CHIROPRACTOR)
(986) 837-7884
Entity
Organization
Contact information
Practice address
108 E PINE ST, CALDWELL, ID 83605-4836
(208) 459-0858
Mailing address
108 E PINE ST, CALDWELL, ID 83605-4836
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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