Individual
DR. CLARK ALLEN PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1419 WESTPORT LANDING PLACE SUITE 109, MANHATTAN, KS 66502
(785) 776-5778
Mailing address
2118 HILLVIEW DR, MANHATTAN, KS 66502-1941
(785) 776-0687
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-03705
KS
Other
Enumeration date
02/23/2006
Last updated
05/04/2010
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