Individual
DR. ANDREW CRAIG PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
202 10TH STREET SE, CEDAR RAPIDS, IA 52403-2404
(319) 398-1721
(319) 399-2016
Mailing address
PO BOX 3178, CEDAR RAPIDS, IA 52406-3178
(319) 398-1583
(319) 399-2085
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
28341
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3075358
—
IA
01
—
56483
BLUE CROSS/BLUE SHIELD
IA
Enumeration date
07/08/2005
Last updated
10/23/2020
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