Individual
STEWART PETERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 10TH ST SE, CEDAR RAPIDS, IA 52403-2435
(319) 363-1284
(319) 363-4453
Mailing address
2475 DALEVIEW DR, MARION, IA 52302-5166
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19546
IA
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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