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Organization
PETERSON CHIROPRACTIC CLINIC PC
Active
Organization
PETERSON CHIROPRACTIC CLINIC PC
Active
Other names
Peterson Chiropractic Clinic PC
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER OSCAR PETERSON III DC (PRES)
(719) 544-1085
Entity
Organization
Contact information
Practice address
214 COLORADO AVE, PUEBLO, CO 81004
(719) 544-1085
(719) 544-1089
Mailing address
214 COLORADO AVE, PUEBLO, CO 81004
(719) 544-1085
(719) 544-1089
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1194
CO
Other
Enumeration date
12/06/2006
Last updated
08/22/2020
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