Individual
DR. DANIEL J. PEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1223 S GEAR AVE, #205, WEST BURLINGTON, IA 52655-1682
(319) 768-1520
(319) 768-1530
Mailing address
1223 S GEAR AVE, SUITE 205, WEST BURLINGTON, IA 52655-1682
(319) 768-1520
(319) 758-1530
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
03066
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1151191
—
IA
01
—
58751
BLUE CROSS
IA
01
—
P00325160
RAILROAD MEDICARE
IA
Enumeration date
07/01/2005
Last updated
02/16/2016
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