| Erick Allen Peterson, DC, CCSP | |
|
816 Broad St, Durham, NC 27705-4148 | |
| (919) 286-7202 | |
| (919) 287-2302 |
| Full Name | Erick Allen Peterson |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 816 Broad St, Durham, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902842123 | NPI | - | NPPES |
| 89085AH | Medicaid | NC | |
| 085AH | Other | NC | BLUE CROSS PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2865 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Erick Allen Peterson, DC, CCSP 816 Broad St, Durham, NC 27705-4148 Ph: (919) 286-7202 | Erick Allen Peterson, DC, CCSP 816 Broad St, Durham, NC 27705-4148 Ph: (919) 286-7202 |
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