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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BENJAMIN WALKER PENNOCK

Active

BENJAMIN WALKER PENNOCK is a Psychiatry healthcare provider located in BOISE, Idaho. NPI 1720874555 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · BOISE, ID

Registration Details

NPI Number
1720874555
Provider Type
Individual
Gender
Male
NPI Issued
Apr 17, 2025 (1.3694375822869 yrs)
Last Updated
May 15, 2025
License
3071063 (ID)

Practice Information

Address
500 W FORT ST
BOISE, ID, 837024501
Browse ID providers · Browse ZIP 83702
Phone
2084221000
Primary Specialty
Psychiatry
2084P0800X
Additional Specialty
Psychiatry

Other Psychiatry Providers in BOISE, ID

Name Credential NPI
ALEX PETER BORMANN M.D. 1477547370
DR. STEPHEN THOMAS BUSHI M.D. 1356336648
BARBARA J. HAGEN MD 1043206683
RICHARD H RINEHART MD 1952391674
RAJASEKHAR KISHORE VALMIKI MD 1518926328
DR. GARY FALK M.D. 1033169362
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.