Individual
JONATHAN J PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3076 E. CHANDLER HEIGHTS RD., SUITE 107, GILBERT, AZ 85298
(480) 840-3663
Mailing address
455 E SADDLE WAY, SAN TAN VALLEY, AZ 85143-5595
(480) 208-3835
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7814
AZ
Other
Enumeration date
05/04/2007
Last updated
07/19/2012
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