Individual
DR. CHRISTOPHER CARL PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2751 OAKDALE BLVD, SUITE #2, CORALVILLE, IA 52241-9749
(319) 665-2870
(319) 665-2872
Mailing address
2751 OAKDALE BLVD, SUITE #2, CORALVILLE, IA 52241-9749
(319) 665-2870
(319) 665-2872
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35756
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0454504
—
IA
01
—
37091
BCBS
IA
01
—
77 0641286 02
JOHN DEERE
IA
01
—
P00199749
RAILROAD MEDICARE
IA
Enumeration date
01/13/2006
Last updated
03/02/2015
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