Individual
DR. DANIEL PETEFISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4500 UTICA RIDGE RD, BETTENDORF, IA 52722-1626
(563) 742-2410
Mailing address
4500 UTICA RIDGE RD, BETTENDORF, IA 52722-1626
(563) 742-2410
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19830
IA
Other
Enumeration date
07/19/2007
Last updated
03/10/2009
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