Individual provider · Type 1 NPI
Ronald Gene Peterson Jr., DC
Chiropractor · Fairview Heights, IL
Practice location
815 Lincoln Hwy Ste 101
Fairview Heights, IL 62208-2230
Mailing address
815 Lincoln Hwy, Ste 109
Fairview Heights, IL 62208-2230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038.012069 (IL) |
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 1891064226
Ronald Gene Peterson Jr., DC's National Provider Identifier is 1891064226, issued on Dec 13, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fairview Heights, IL. The record was last updated on Nov 29, 2016.