Individual
WILLIAM TRENT PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E 1ST ST STE 1700, ANKENY, IA 50021-2100
(515) 643-8100
(515) 643-8139
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-8100
(515) 643-8139
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-40431
IA
Other
Enumeration date
07/23/2010
Last updated
07/21/2022
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