DOUGLAS JED PETERSON

SHELLEY, ID
NPI1023142585
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: ID  CHIA-855)
Enumeration Date2007-03-15
Last Update Date2007-07-09
Business Address
Dr. DOUGLAS JED PETERSON D.C.
650 N STATE ST SUITE #1
SHELLEY, ID 83274-5167
Phone number: 208-357-2225
Mailing Address
Dr. DOUGLAS JED PETERSON D.C.
650 N STATE ST SUITE #1
SHELLEY, ID 83274-5167
Phone number: 208-357-2225
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