Individual
DANIEL JOSEPH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
200 HAWKINS DR, 51305 POMERANTZ FAMILY PAVILION, IOWA CITY, IA 52242-1009
(319) 384-8084
Mailing address
200 HAWKINS DR, CC 101 GH, IOWA CITY, IA 52242-1009
(319) 356-2577
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22822
IA
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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