Dr James Tyler Petersen, DC | |
657 W 200 N, Cedar City, UT 84720-2408 | |
(435) 592-4845 | |
Not Available |
Full Name | Dr James Tyler Petersen |
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Gender | Male |
Speciality | Chiropractor |
Location | 657 W 200 N, Cedar City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134439755 | NPI | - | NPPES |
U000073714 | Other | UT | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIA-1429 (Idaho) | Secondary |
111N00000X | Chiropractor | 7779072-1202 (Utah) | Primary |
Provider Name | Arctic Chiropractic & Physical Medicine Eagle River Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891198875 PECOS PAC ID: 6507181047 Enrollment ID: O20150204002110 |
Mailing Address | Practice Location Address |
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Dr James Tyler Petersen, DC 657 W 200 N, Cedar City, UT 84720-2408 Ph: (435) 592-4845 | Dr James Tyler Petersen, DC 657 W 200 N, Cedar City, UT 84720-2408 Ph: (435) 592-4845 |
Workman Chiropractic Clinic D.c. P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 415 N Main St, Ste 207, Cedar City, UT 84720 Phone: 435-865-9556 Fax: 435-865-9570 | |
Dr. Johnnie Lewis Morgan Jr., D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1320 N Main St Ste 101, Cedar City, UT 84721 Phone: 435-260-7005 | |
Apex Health Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1320 N Main St Ste 101, Cedar City, UT 84721 Phone: 435-260-7005 Fax: 435-259-0126 | |
Whittaker Family Chiropractic, Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1870 N Main St, Suite 205, Cedar City, UT 84720 Phone: 435-586-7575 Fax: 435-586-7575 | |
Bristlecone Chiropractic Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 657 W 200 N, Cedar City, UT 84720 Phone: 435-592-4845 | |
Active Health Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 110 W 1325 N Ste 150, Cedar City, UT 84721 Phone: 435-867-6354 Fax: 435-867-1472 |