Individual
MR. DANNY KEITH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
601 E MCCARTY ST, JEFFERSON CITY, MO 65101-3324
(573) 634-3245
Mailing address
16101 OLD 63 SOUTH, ASHLAND, MO 65010-9477
(573) 657-4191
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CE003799
MO
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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