Gary Lee Peterson in Albuquerque - Chiropractor
Gary Lee Peterson - NPI 1629163514
Gary Lee Peterson is a Chiropractor in Albuquerque, New Mexico. Gary Lee Peterson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Gary Lee Peterson is 1629163514. The last update date is 2012-04-10.
Gary Lee Peterson's current location address is 7100 Menaul Blvd Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5058835858 and fax number 5058830010. The mailing address for Gary Lee Peterson is 7100 Menaul Blvd Ne, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gary Lee Peterson |
---|---|
Address | 7100 Menaul Blvd Ne, Albuquerque, New Mexico |
Phone Number | 5058835858 |
Fax Number | 5058830010 |
Sole Proprietor | N |
Credentials | DC PA |
NPI Number Detail
NPI Number | 1629163514 |
---|---|
Provider Enumeration Date | 2006-10-04 |
Last Updated Date | 2012-04-10 |
Provider Mailing Address Detail
Address | 7100 Menaul Blvd Ne |
---|---|
City | Albuquerque |
State | New Mexico (NM) |
Post Code | 871103688 |
Phone Number | 5058835858 |
Fax Number | 5058830010 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
---|---|
Taxonomy | 111N00000X |
Licence No | 317 |
Definition: 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 inte |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
KC80 | NM | BCBS | |
23390 | NM | PRES | |
2671525 | NM | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Gary Lee Peterson by the Centers for Medicare & Medicaid Services?
The Gary Lee Peterson has been issued the NPI (National Provider Identifier) 1629163514. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Gary Lee Peterson is geographically located?
The Gary Lee Peterson is physically situated at the following location: 7100 Menaul Blvd Ne, Albuquerque, NM, 871103688.
What is Gary Lee Peterson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gary Lee Peterson's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
When was the Gary Lee Peterson's 1629163514 issued?
The Gary Lee Peterson's 1629163514 was issued on 2006-10-04.
When was the information pertaining to Gary Lee Peterson most recently updated or revised?
The details related to Gary Lee Peterson, including its address, specialty, and other relevant information, were last updated or revised on 2012-04-10.