Organization
WARREN H. PETERSON, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WARREN HOWARD PETERSON O.D. (OWNER)
(515) 961-2809
Entity
Organization
Contact information
Practice address
123 W SALEM AVE, INDIANOLA, IA 50125-2518
(515) 961-2809
(515) 961-0768
Mailing address
123 W SALEM AVE, INDIANOLA, IA 50125-2518
(515) 961-2809
(515) 961-0768
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
IA1825
IA
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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