Individual
ANTHONY L PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5220 DOUGLAS BLVD, GRANITE BAY, CA 95746-6205
(707) 430-3740
Mailing address
1253 SENEGAL WAY, EL DORADO HILLS, CA 95762-6402
(707) 430-3740
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
35241
CA
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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