CLINTON J PETERSEN DC

Dr CLINTON J PETERSEN DC is a male medical professional, specializing in Chiropractic. He graduated in 2003.

Contact

3805 S DOUGLAS HWY UNIT 1
GILLETTE
WY
827186557

Tel: 3076860303

CLINTON J PETERSEN DC Information

Npi 1770521221
Pac Id 6204823214
Professional Enrollment Id I20040430000727
Last Name PETERSEN
First Name CLINTON
Middle Name J
Suffix
Gender M
Credential DC
Medical School Name OTHER
Graduation Year 2003
Primary Specialty CHIROPRACTIC
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 3805 S DOUGLAS HWY UNIT 1
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GILLETTE
State WY
Zip Code 827186557
Phone Number 3076860303
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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