Organization
100 CHIRO PETERSON THREE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PETERSON (OWNER)
(719) 547-0237
Entity
Organization
Contact information
Practice address
5714 W 89TH AVE, WESTMINSTER, CO 80031
(719) 547-0237
Mailing address
5714 W 89TH AVE, WESTMINSTER, CO 80031
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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