Individual
DR. PETER G. BLUMENAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
320 EAST BROADWAY, SUITE 1C, JACKSON, WY 83001
(307) 734-0222
(307) 734-0222
Mailing address
PO BOX 12110, JACKSON, WY 83002-2110
(307) 734-0222
(307) 734-0222
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
605
WY
Other
Enumeration date
01/23/2008
Last updated
02/08/2010
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