Individual
DR. LINDA RENE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
6900 UNIVERSITY AVE STE 108, WINDSOR HEIGHTS, IA 50311-1505
(515) 274-6104
(515) 255-3355
Mailing address
6900 UNIVERSITY AVE STE 108, WINDSOR HEIGHTS, IA 50311-1505
(515) 274-6104
(515) 255-3355
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05812
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0195347
—
IA
01
—
49767
BLUE SHIELD
IA
Enumeration date
02/07/2007
Last updated
07/08/2007
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