Individual
DR. PETER THIBODEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3121 PARK AVE, B, SOQUEL, CA 95073-2920
(831) 462-2727
Mailing address
3121 PARK AVE, B, SOQUEL, CA 95073-2920
(831) 462-2727
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
DC10123
CA
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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