Individual
TERRY K PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CH
Contact information
Practice address
6750 E BROADWAY RD, MESA, AZ 85206-1700
(480) 396-2484
(480) 830-2790
Mailing address
6750 E BROADWAY RD, MESA, AZ 85206-1700
(480) 396-2484
(480) 830-2790
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2065
AZ
Other
Enumeration date
08/20/2006
Last updated
04/23/2008
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