Individual
PETER ECONOMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1233 63RD ST, DES MOINES, IA 50311-1943
(515) 277-6358
Mailing address
1955 NW 129TH ST, CLIVE, IA 50325-7501
(515) 494-4534
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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