Individual
DR. CHAD D PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
BLAIRS FERRY RD. NE, CEDAR RAPIDS, IA 52402
(319) 310-3310
Mailing address
4606 CHESTNUT RIDGE CT NE, CEDAR RAPIDS, IA 52411-7613
(319) 393-3310
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
02103
IA
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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