Individual
DR. GRANT DOUGLAS PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
715 MALL RING CIR STE 100, HENDERSON, NV 89014-6666
(702) 990-2225
Mailing address
2312 N GREEN VALLEY PKWY APT 2823, HENDERSON, NV 89014-3118
(503) 875-1573
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
B01907
NV
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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