Organization
100 CHIRO PETERSON RUIZ PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR MICHAEL PETERSON (OWNER)
(719) 251-7708
Entity
Organization
Contact information
Practice address
117 WHISTLESTOP WAY, UNIT 3, FAIRVIEW, TX 75069
(719) 217-0895
Mailing address
117 WHISTLESTOP WAY, UNIT 3, FAIRVIEW, TX 75069
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
04/30/2024
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