Organization
100 CHIRO PETERSON WALFOORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PETERSON (FRANCHISEE)
(719) 252-8184
Entity
Organization
Contact information
Practice address
1921 PRESTON RD STE B2008, PLANO, TX 75093-5124
(719) 252-8184
Mailing address
1921 PRESTON RD STE B2008, PLANO, TX 75093-5124
(719) 252-8184
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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