| Blake Peterson, DC | |
|
1878 W 3600 S, West Valley City, UT 84119-3893 | |
| (801) 972-1222 | |
| Not Available |
| Full Name | Blake Peterson |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 7 Years |
| Location | 1878 W 3600 S, West Valley City, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962965855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 10874281-1202 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peterson Chiropractic Inc | 2062308166 | 3 |
| Provider Name | Peterson Chiropractic Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1134333669 PECOS PAC ID: 2062308166 Enrollment ID: O20040303000910 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Peterson, DC 1878 W 3600 S, West Valley City, UT 84119-3893 Ph: (801) 972-1222 | Blake Peterson, DC 1878 W 3600 S, West Valley City, UT 84119-3893 Ph: (801) 972-1222 |
Colin Lee Bench, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 3800 W 3500 S, West Valley City, UT 84120 Phone: 801-973-1022 | |
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Peterson Chiropractic Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 1878 W. 3600 S., West Valley City, UT 84119 Phone: 801-972-1222 Fax: 801-972-2134 | |
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Dr. Michael Ron Frogley, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1264 Village Main Dr Unit A, West Valley City, UT 84119 Phone: 801-972-5285 | |
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