person
Diane M Peterson, DC
Chiropractor in Rolla, Missouri
NPI 1508932062

Diane M Peterson is a Chiropractor based in Rolla, MO. Diane M Peterson practices in Rolla, MO and has the professional credentials of DC. The NPI Number for Diane M Peterson is 1508932062 and holds a License No. 2003008890 (Missouri).

The current practice location address for Diane M Peterson is 1205 Hauck Dr, Rolla, MO and can be reached out via phone at 573-426-2225 and via fax at 573-426-2290. You can also correspond with Diane M Peterson through the mailing address at 1312 WOODLAWN DR, ROLLA, MO - 65401-2521 (mailing address contact number: 573-426-3418).

Location: 1205 Hauck Dr, Rolla, MO, 65401-2521
person
Provider Profile Details
NPI Number
1508932062
Provider Name
Diane M Peterson
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
1205 Hauck Dr, Rolla, MO, 65401-2521
Phone Number
573-426-2225
Fax Number
573-426-2290
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
660783 01 MO UNITED HEALTHCARE
182589 01 MO BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1205 Hauck Dr
City
State
Zip
65401-4900
Phone Number
573-426-2225
Fax Number
573-426-2290
person
Provider Business Mailing Address Details
Address
1312 Woodlawn Dr
City
State
Zip
65401-2521
Phone Number
573-426-3418
Fax Number
573-426-2290
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
2003008890 (Missouri)
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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