Individual provider · Type 1 NPI
Dale Petersen, DC
Chiropractor · Denver, CO
NPI number
1306906169
Active
Practice location
1923 E Kentucky Ave
Denver, CO 80209-4554
Fax (303) 282-7597
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1833 (CO) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1306906169
Dale Petersen, DC's National Provider Identifier is 1306906169, issued on Dec 11, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Denver, CO. The record was last updated on Aug 5, 2008.