Glen Allen Peterson D.C.

NPI 1063444776 - Chiropractor - 111N00000X

NPI Details
NPI 1063444776
Gender Male
Enumeration Date 07/06/2006
Last Updated 11/14/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
817 N SMITHFIELD RD
KNIGHTDALE NC, 27545-7717, US
Phone (919) 217-8188
Fax (919) 217-8189
Business Location
817 N SMITHFIELD RD
KNIGHTDALE NC, 27545-7717, US
Phone (919) 217-8188
Fax (919) 217-8189
Toxanomy
Taxonomy Code 111N00000X
License State North Carolina
License Number 3728
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According to our database, Dr. Glen Allen Peterson D.C. NPI is 1063444776, taxonomy code is 111N00000X and license number is 3728, license state is located at North Carolina. Glen Allen Peterson D.C. physically located at 817 N Smithfield Rd, Knightdale NC, 27545-7717. NPI Number Glen Allen Peterson D.C. has the Individual type.

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1063444776 NPI number is provided on an as is basis without warranty of any kind. 1063444776 is maintained by the National Plan & Provider Enumeration System. The contents of Glen Allen Peterson D.C. are for informational purposes only.