Organization
ELITE CHIROPRACTIC AND SPORTS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAX PETERSEN DC (OWNER AND CHIROPRACTOR)
(408) 288-8120
Entity
Organization
Contact information
Practice address
1373 S BASCOM AVE, SAN JOSE, CA 95128-4507
(408) 288-8120
(408) 288-8122
Mailing address
1373 S BASCOM AVE, SAN JOSE, CA 95128-4507
(408) 288-8120
(408) 288-8122
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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