Organization
100 CHIRO PETERSON TWO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PETERSON (OWNER)
(719) 547-0237
Entity
Organization
Contact information
Practice address
272 N EL CAMINO REAL STE C, ENCINITAS, CA 92024-2857
(719) 251-7708
Mailing address
272 N EL CAMINO REAL STE C, ENCINITAS, CA 92024-2857
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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