Individual
MR. CARL EDWIN PETERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1551 INDIAN HILLS DR, SIOUX CITY, IA 51104-1859
(712) 258-4700
(712) 258-4777
Mailing address
1551 INDIAN HILLS DR, SIOUX CITY, IA 51104-1857
(712) 258-4700
(712) 258-4777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001490
IA
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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