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Dr. Douglas Jed Peterson, DC
Chiropractor in Shelley, Idaho
NPI 1023142585

Douglas Jed Peterson is a Chiropractor based in Shelley, ID. Douglas Jed Peterson practices in Shelley, ID and has the professional credentials of DC. The NPI Number for Douglas Jed Peterson is 1023142585 and holds a License No. CHIA-855 (Idaho).

The current practice location address for Douglas Jed Peterson is 650 N State St, Shelley, ID and can be reached out via phone at 208-357-2225 and via fax at 208-357-2224.

Location: 650 N State St, Shelley, ID, 83274-5167
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023142585
Provider Name
Douglas Jed Peterson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
650 N State St, Shelley, ID, 83274-5167
Phone Number
208-357-2225
Fax Number
208-357-2224
Provider Enumeration Date
03/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
650 N State St
City
Shelley
State
Idaho
Zip
83274-5167
Phone Number
208-357-2225
Fax Number
208-357-2224
person
Provider Business Mailing Address Details
Address
650 N State St
City
Shelley
State
Idaho
Zip
83274-5167
Phone Number
208-357-2225
Fax Number
208-357-2224
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CHIA-855 (Idaho)
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 interrelationship with other body systems.
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