Provider Demographics
NPI:1104917566
Name:MCDUFF, PETER (DC)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:
Last Name:MCDUFF
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3075 CITRUS CIR
Mailing Address - Street 2:SUITE 175
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2666
Mailing Address - Country:US
Mailing Address - Phone:925-933-3000
Mailing Address - Fax:925-933-3007
Practice Address - Street 1:3075 CITRUS CIR
Practice Address - Street 2:SUITE 175
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2666
Practice Address - Country:US
Practice Address - Phone:925-933-3000
Practice Address - Fax:925-933-3007
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25349111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGE004AOtherPTAN
CAGE004AOtherPTAN