Individual
DR. DARWIN DEAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
540 E JEFFERSON ST, SUITE 205, IOWA CITY, IA 52245-2477
(319) 688-7880
(319) 688-7881
Mailing address
PO BOX 2027, IOWA CITY, IA 52244-2027
(319) 339-3541
(319) 358-2737
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02331
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020047262
MEDICARE RR
IA
05
—
0210807
—
IA
01
—
19971
BLUE CROSS #
IA
Enumeration date
03/27/2006
Last updated
06/24/2015
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