Provider Demographics
NPI:1427099381
Name:PEER, DAVID WILLIAM (DC,CCSP)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WILLIAM
Last Name:PEER
Suffix:
Gender:M
Credentials:DC,CCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10555 MONTGOMERY BLVD NE
Mailing Address - Street 2:BLDG 1 STE 30
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-3857
Mailing Address - Country:US
Mailing Address - Phone:505-299-6622
Mailing Address - Fax:505-323-4419
Practice Address - Street 1:10555 MONTGOMERY BLVD NE
Practice Address - Street 2:BLDG 1 STE 30
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-3857
Practice Address - Country:US
Practice Address - Phone:505-299-6622
Practice Address - Fax:505-323-4419
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1499111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician