Organization
PETERSON CHIROPRACTIC CLINIC PC
Active
Other names
Peterson Chiropractic Clinic PC
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER OSCAR PETERSON III DC (PRES)
(719) 544-1085
Entity
Organization
Contact information
Practice address
214 COLORADO AVE, PUEBLO, CO 81004
(719) 544-1085
(719) 544-1089
Mailing address
214 COLORADO AVE, PUEBLO, CO 81004
(719) 544-1085
(719) 544-1089
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1194
CO
Other
Enumeration date
12/06/2006
Last updated
08/22/2020
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