Individual ProviderRobert E GentryChiropractorChiropractic ProvidersPractice Address1565 E Leighfield Dr, Suite 150, Meridian, ID 83646(208) 884-2142(208) 008-2142PECOS EnrollmentBased on the most recent information from CMS, provider Robert E Gentry does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1598820128Provider TypeIndividualFull NameGentry, Robert ETitleDr.CredentialDCGenderMaleSole ProprietorYesEnumeration Date12/26/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address1565 E Leighfield Dr, Suite 150, Meridian, ID 83646Phone(208) 884-2142FaxUnlisted FaxMailing LocationMailing Address1565 E Leighfield Dr, Suite 150, Meridian, ID 83646Phone(208) 008-2142FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIA 692 IDIdaho