Organization
100 PERCENT CHIROPRACTIC PUEBLO ONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PETERSON D.C. (OWNER/MANAGER)
(719) 251-7708
Entity
Organization
Contact information
Practice address
1021 N MARKET PLZ, 102, PUEBLO WEST, CO 81007-1531
(719) 251-7708
Mailing address
1021 N MARKET PLZ, 102, PUEBLO WEST, CO 81007-1531
(719) 251-7708
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0007367
CO
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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