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Individual

DR. PETER FISK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
826 CAMINO DE MONTE REY STE A7, SANTA FE, NM 87505-3961
(505) 954-1024
(505) 365-2791
Mailing address
826 CAMINO DE MONTE REY STE A7, SANTA FE, NM 87505-3961
(505) 954-1024
(505) 365-2791

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
6241
CO
111NN0400X
Neurology Chiropractor
6241
CO
111NN0400X
Neurology Chiropractor
Primary
DC2113
NM
111NP0017X
Pediatric Chiropractor
6241
CO
111NR0400X
Rehabilitation Chiropractor
6241
CO

Other

Enumeration date
11/06/2009
Last updated
07/22/2020
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