1851412241

Everything you always wanted to know about DR. PETERSON DAVID D.C. but were afraid to ask.

DR. PETERSON DAVID D.C.

You can also download the this 1851412241 data report as csv | excel | json | xml
Provider Prefix Provider Last Name Provider First Name Provider Credential
DR. PETERSON DAVID D.C.
Gender:
Male
Enumeration date:
2007-04-03
Last update date:
2014-12-08
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
111N00000X Chiropractor CA 28995 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 5306154083
Practice Location Address Telephone Number 5306154083
Mailing Address Fax Number 5305325085
Practice Location Address Fax Number 5305325085

Addresses

Type Address City State Postal Country
Mailing Address 17331 PENN VALLEY DR PENN VALLEY CA 95946 CA
Practice Location Address 17331 PENN VALLEY DR PENN VALLEY CA 95946 CA