Individual
DR. LARRY DEAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6339 E. GREENWAY ROAD, #104, SCOTTSDALE, AZ 85254-6517
(480) 443-7678
(480) 443-7661
Mailing address
6339 E. GREENWAY ROAD, #104, SCOTTSDALE, AZ 85254-6517
(480) 443-7678
(480) 443-7661
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1079
AZ
Other
Enumeration date
10/28/2005
Last updated
12/13/2010
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