Individual provider · Type 1 NPI

Brent E. Peterson, DC

Chiropractor · Logan, UT

NPI number 1356535694 Active

Practice location

1415 N 400 E, Suite C
Logan, UT 84341-7539

Fax (435) 787-1797

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X4827300-0151 (UT)

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 1356535694

Brent E. Peterson, DC's National Provider Identifier is 1356535694, issued on Aug 29, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Logan, UT. The record was last updated on Aug 29, 2007.