Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Clinton Jerome Petersen, DC

Individual provider Chiropractor · NPI 1770521221

Dr. Clinton Jerome Petersen, DC is a Chiropractor in Gillette, Wyoming. Licensed in Wyoming. Registered with an NPI since 2006.

Licensed in
WY
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

3805 S Douglas Hwy Unit 1
Gillette, WY 82718-6554
Phone: (307) 686-0303
Fax: (307) 686-2882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 623 (WY)

Record details

NPI number1770521221
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJune 4, 2006
Last updated in NPPESJuly 13, 2026
Mailing address3805 S Douglas Hwy, Unit 1, Gillette, WY 82718-6554

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