DR. Brent E. Peterson, D.C.

NPI #1356535694 in Logan, Utah

Provider Information

NPI Number: 1356535694
Entity Type: Individual
Name: DR. Brent E. Peterson, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Aug 29, 2007
Last Updated: Aug 29, 2007

Practice Location

Address: 1415 N 400 E
Address 2: SUITE C
City: Logan
State: Utah
ZIP Code: 84341-7539
Phone: (435) 787-1787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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