Individual provider · Type 1 NPI
Blake Robert Pennock Ii, DC
Chiropractor · Flagstaff, AZ
NPI number
1053877159
Active
Practice location
1501 S Yale St Ste 250
Flagstaff, AZ 86001-7336
Mailing address
505 W Baseline Rd Apt 2142
Tempe, AZ 85283-5319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Chiropractor Primary | 111N00000X | 8787 (AZ) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
5 other providers at this address
- Naz Mua LLCGeneral Practice Physician Flagstaff, AZ NPI 1457173312
- Andrew J. Gregg, DCChiropractor Flagstaff, AZ NPI 1295085348
- Chris Martin Brindley, DCChiropractor Flagstaff, AZ NPI 1194961193
- Cynthia Adson, ARNP, FNPBCFamily Nurse Practitioner Flagstaff, AZ NPI 1407500705
- Melissa Louise Carone, NP-CFamily Nurse Practitioner Flagstaff, AZ NPI 1255844411
Other chiropractor providers in Flagstaff
- Robert Karl Perry, DCChiropractor Flagstaff, AZ NPI 1003984220
- Robert Michael Dahl, DCChiropractor Flagstaff, AZ NPI 1013082668
- Jeff Rex Alfred, DCChiropractor Flagstaff, AZ NPI 1023131893
- Garrett Michael Okun, DCChiropractor Flagstaff, AZ NPI 1053971598
- Jonathan William Zeigler, DCChiropractor Flagstaff, AZ NPI 1073499398
- Timothy F. Martin, DCChiropractor Flagstaff, AZ NPI 1104884675
- James F. Praet, DCChiropractor Flagstaff, AZ NPI 1104930890
- Bruce B. Lee, DCChiropractor Flagstaff, AZ NPI 1104998665
About NPI 1053877159
Blake Robert Pennock Ii, DC's National Provider Identifier is 1053877159, issued on Feb 13, 2019. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Flagstaff, AZ. The record was last updated on Feb 22, 2019.