Individual
MELISSA MARGARET PEYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3740 UTICA RIDGE RD, SUITE B, BETTENDORF, IA 52722-1657
(563) 344-7400
(563) 359-9395
Mailing address
3740 UTICA RIDGE ROAD, SUITE B, BETTENDORF, IA 52722-1624
(563) 344-7400
(563) 359-9395
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001864
IA
363A00000X
Physician Assistant
085003087
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001864
LICENSE
IA
01
—
085003087
ILLINOIS LICENSE
IL
01
—
71333
WELLMARK
IA
Enumeration date
10/05/2007
Last updated
07/14/2016
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