Individual
JORDAN DANE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6000 UNIVERSITY AVE STE 300, WEST DES MOINES, IA 50266-8200
(515) 241-2400
(515) 241-2401
Mailing address
6000 UNIVERSITY AVE STE 300, WEST DES MOINES, IA 50266-8200
(515) 241-2400
(514) 241-2401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-44443
IA
Other
Enumeration date
06/25/2015
Last updated
04/20/2021
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