Individual
DR. GARY A. PEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
312 E MAIN ST, MARSHALLTOWN, IA 50158-1888
(641) 753-4161
(641) 753-4967
Mailing address
312 E MAIN ST, MARSHALLTOWN, IA 50158-1888
(641) 753-4161
(641) 753-4967
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
21087
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2151373
—
IA
Enumeration date
11/04/2005
Last updated
05/20/2008
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