Individual
BRIDGETT EILEEN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
540 E JEFFERSON ST, SUITE 400, IOWA CITY, IA 52245-2477
(319) 339-3400
Mailing address
PO BOX 2027, IOWA CITY, IA 52244-2027
(319) 339-3451
(319) 358-2737
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000749
IA
363A00000X
Physician Assistant
00749
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28313
WELLMARK BCBS
IA
Enumeration date
11/16/2005
Last updated
06/29/2015
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