Dr Peter Sidhom, DC | |
1601 Clint Moore Rd Ste 182, Boca Raton, FL 33487-5713 | |
(561) 988-1998 | |
Not Available |
Full Name | Dr Peter Sidhom |
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Gender | Male |
Speciality | Chiropractor |
Location | 1601 Clint Moore Rd Ste 182, Boca Raton, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225747264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 14116 (Florida) | Primary |
Provider Name | Buchanan Physical Medicine, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407212087 PECOS PAC ID: 1153609441 Enrollment ID: O20161020000348 |
Mailing Address | Practice Location Address |
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Dr Peter Sidhom, DC 1601 Clint Moore Rd Ste 182, Boca Raton, FL 33487-5713 Ph: () - | Dr Peter Sidhom, DC 1601 Clint Moore Rd Ste 182, Boca Raton, FL 33487-5713 Ph: (561) 988-1998 |
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