Jon S Petrick DC

NPI 1083763502 - Chiropractor - 111N00000X

NPI Details
NPI 1083763502
Gender Male
Enumeration Date 01/10/2007
Last Updated 02/21/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
58 N PECOS RD
HENDERSON NV, 89074-7319, US
Phone (702) 948-2520
Fax (702) 948-2523
Business Location
58 N PECOS RD
HENDERSON NV, 89074-7319, US
Phone (702) 948-2520
Fax (702) 948-2523
Toxanomy
Taxonomy Code 111N00000X
License State Nevada
License Number B00848
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According to our database, Dr. Jon S Petrick DC NPI is 1083763502, taxonomy code is 111N00000X and license number is B00848, license state is located at Nevada. Jon S Petrick DC physically located at 58 N Pecos Rd, Henderson NV, 89074-7319. NPI Number Jon S Petrick DC has the Individual type.

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1083763502 NPI number is provided on an as is basis without warranty of any kind. 1083763502 is maintained by the National Plan & Provider Enumeration System. The contents of Jon S Petrick DC are for informational purposes only.