Individual
DR. GREGORY E PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1510 PLEASANT VIEW DR, DES MOINES, IA 50315-2126
(515) 771-2527
(855) 642-1942
Mailing address
1510 PLEASANT VIEW DR, DES MOINES, IA 50315-2126
(515) 771-2527
(855) 642-1942
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01984
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0237933
—
IA
Enumeration date
06/17/2005
Last updated
12/13/2022
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