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Keith A Peterson, DC
Chiropractor in Rolla, Missouri
NPI 1972679439

Keith A Peterson is a Chiropractor based in Rolla, MO. Keith A Peterson practices in Rolla, MO and has the professional credentials of DC. The NPI Number for Keith A Peterson is 1972679439 and holds a License No. 2003008892 (Missouri).

The current practice location address for Keith A 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.

Location: 1205 Hauck Dr, Rolla, MO, 65401-8053
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972679439
Provider Name
Keith A Peterson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1205 Hauck Dr, Rolla, MO, 65401-8053
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
176200 01 MO BLUE CROSS BLUE SHIELD
694831 01 MO HEALTHLINK
institution
Provider Business Practice Location Address Details
Address
1205 Hauck Dr
City
Rolla
State
Missouri
Zip
65401-4900
Phone Number
573-426-2225
Fax Number
573-426-2290
person
Provider Business Mailing Address Details
Address
1205 Hauck Dr
City
Rolla
State
Missouri
Zip
65401-4900
Phone Number
573-426-2225
Fax Number
573-426-2290
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2003008892 (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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