DR. Douglas Jed Peterson, D.C.

NPI #1023142585 in Shelley, Idaho

Provider Information

NPI Number: 1023142585
Entity Type: Individual
Name: DR. Douglas Jed Peterson, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Mar 15, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 650 N STATE ST
Address 2: SUITE #1
City: Shelley
State: Idaho
ZIP Code: 83274-5167
Phone: (208) 357-2225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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