Individual
REBECCA JARRATT PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 MERCY DR, COUNCIL BLUFFS, IA 51503-3128
(712) 328-5000
Mailing address
3124 S TRIPLE PLAY AVE, SIOUX FALLS, SD 57110-8811
(605) 941-4947
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
17557
ND
2084P0800X
Psychiatry Physician
Primary
497
SD
2084P0800X
Psychiatry Physician
70776
MN
Other
Enumeration date
05/28/2019
Last updated
06/06/2023
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