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Brad Niel Peterson, DC
Chiropractor in South Jordan, Utah
NPI 1659390417

Brad Niel Peterson is a Chiropractor based in South Jordan, UT. Brad Niel Peterson practices in South Jordan, UT and has the professional credentials of DC. The NPI Number for Brad Niel Peterson is 1659390417 and holds a License No. 176210-1202 (Utah).

The current practice location address for Brad Niel Peterson is 10358 S Redwood Rd, South Jordan, UT and can be reached out via phone at 801-254-9400 and via fax at 801-254-5739.

Location: 10358 S Redwood Rd, South Jordan, UT, 84095-9339
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659390417
Provider Name
Brad Niel Peterson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
10358 S Redwood Rd, South Jordan, UT, 84095-9339
Phone Number
801-254-9400
Fax Number
801-254-5739
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
612239 01 UT UNITED HEALTHCARE
870503754002 05 UT
institution
Provider Business Practice Location Address Details
Address
10358 S Redwood Rd
City
South Jordan
State
Utah
Zip
84095-9339
Phone Number
801-254-9400
Fax Number
801-254-5739
person
Provider Business Mailing Address Details
Address
10358 S Redwood Rd
City
South Jordan
State
Utah
Zip
84095-9339
Phone Number
801-254-9400
Fax Number
801-254-5739
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
176210-1202 (Utah)
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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