Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Blake Robert Pennock II, DC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053877159

Dr. Blake Robert Pennock II, DC is a Student in an Organized Health Care Education/Training Program in Flagstaff, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2019
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Flagstaff, AZ

No coordinates on file. Search this address in Google Maps

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 8787 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053877159
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedFebruary 13, 2019
Last updated in NPPESFebruary 22, 2019

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