NPI | 1801070628 |
---|---|
Doing Business As | PETERSON CHIROPRACTIC CLINIC |
Entity Type | Organization |
Authorized Contact | JAMES LAWRENCE MISUSTIN Owner 435-753-2840 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: UT 320260-1202) |
Enumeration Date | 2007-12-28 |
Last Update Date | 2008-02-27 |