Individual
DR. CLINTON JEROME PETERSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3805 S DOUGLAS HWY, UNIT 1, GILLETTE, WY 82718-6554
(307) 686-0303
(307) 686-2882
Mailing address
3805 S DOUGLAS HWY, UNIT 1, GILLETTE, WY 82718-6554
(307) 686-0303
(307) 686-2882
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
623
WY
Other
Enumeration date
06/04/2006
Last updated
02/12/2018
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