Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | A5342 | IA |
Y | 213ER0200X | Radiology | A5342 | IA |
NPI | 1902908676 |
---|---|
Provider Name | Allison Jean Peel |
First Address | Johnston, IA 50131-1927 |
Second Address | Johnston, IA 50131-1927 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2006 |
Last Update Date | 01/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U30350 | (02) | OH |