Peterson Health Clinic LLC
NPI #1376813378 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1376813378
- Entity Type
- Organization
- Organization Name
- Peterson Health Clinic LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Jan 6, 2012
- Last Updated
- Dec 15, 2015
Practice Location
- Address
- 815 LINCOLN HIGHWAY
- Address 2
- SUITE 109
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208
- Phone
- (618) 589-3911
Authorized Official
- Name
- DR. RONALD G PETERSON JR., D.C.
- Title
- OWNER/PHYSICIAN
- Phone
- (618) 589-3911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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