DR. Clinton Jerome Petersen, D.C.

NPI #1770521221 in Gillette, Wyoming

Provider Information

NPI Number: 1770521221
Entity Type: Individual
Name: DR. Clinton Jerome Petersen, D.C.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jun 4, 2006
Last Updated: Feb 12, 2018

Practice Location

Address: 3805 S DOUGLAS HWY
Address 2: UNIT 1
City: Gillette
State: Wyoming
ZIP Code: 82718-6554
Phone: (307) 686-0303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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