Individual provider · Type 1 NPI

Richard Wayne Petersen, DC

Chiropractor · Sunnyvale, CA

NPI number 1316019862 Active

Practice location

1309 S Mary Ave, Suite 100
Sunnyvale, CA 94087-3050

Call (408) 733-0400 Map

Fax (408) 733-4388

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC 022120 (CA)

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 1316019862

Richard Wayne Petersen, DC's National Provider Identifier is 1316019862, issued on Nov 13, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Sunnyvale, CA. The record was last updated on Jul 8, 2007.