Individual
DR. BRADLEY R PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1878 W 3600 S, WEST VALLEY CITY, UT 84119-3893
(801) 972-1222
(801) 972-2134
Mailing address
1878 W 3600 S, WEST VALLEY CITY, UT 84119-3893
(801) 972-1222
(801) 972-2134
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
173700-1202
UT
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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