NPI 1083763502

Jon S Petrick, DC

Practitioner Chiropractor Henderson, NV

Practice location

Address: 58 N Pecos Rd, Henderson, NV 89074-7319
Phone: (702) 948-2520
Fax: (702) 948-2523

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence B00848 (NV)

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Registry record

NPI: 1083763502
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jan 2007
Record last updated: 21 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.