Individual
DR. MITCHELL MARK PERITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3920 N UNION BLVD STE 160, COLORADO SPRINGS, CO 80907-4907
(719) 632-4754
Mailing address
1017 LARAMIE BLVD UNIT D, BOULDER, CO 80304-4725
(303) 253-4204
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X003634-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/10/2007
Last updated
09/08/2022
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