Individual
DR. PAUL LEROY PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2378 S AVE, MADRID, IA 50156-7593
(515) 795-3655
(515) 795-3656
Mailing address
2378 S AVE, MADRID, IA 50156-7593
(515) 795-3655
(515) 795-3656
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05497
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0431379
—
IA
01
—
18766
BLUE CROSS
—
05
—
2102442
—
IA
Enumeration date
10/17/2005
Last updated
10/18/2023
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