Organization
BALANCE CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD ALBERT PETERSON D.C. (OWNER/OFFICER)
(719) 332-6201
Entity
Organization
Contact information
Practice address
835 HIGHWAY 105, SUITE A, PALMER LAKE, CO 80133-9069
(719) 332-6201
Mailing address
835 HIGHWAY 105, SUITE A, PALMER LAKE, CO 80133-9069
(719) 332-6201
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5463
CO
Other
Enumeration date
06/11/2010
Last updated
05/11/2012
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