Individual
MATTHEW CHRISTOPHER PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
39 E MAIN ST, SUITE 111, NEW ALBANY, OH 43054-9466
(614) 933-0700
Mailing address
39 E MAIN ST, SUITE 111, NEW ALBANY, OH 43054-9466
(614) 933-0700
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
65.000280
OH
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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