Andrew R. Peterson
Pediatrician Sports Medicine
200 Hawkins Dr
Iowa City
, Iowa 52242-1007
Andrew R. Peterson
Pediatrician Sports Medicine
200 Hawkins Dr
Iowa City
, Iowa 52242-1007
(319) 384-6295
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About
Features
Specialties
- Pediatrician
- Sports Medicine
Languages spoken
- English
Location
First Address
- Andrew R. Peterson
- 200 Hawkins Dr
- Iowa City, IA
- Zip : 52242-1007
- Fax : (319) 384-6295
- Phone : (319) 353-8392
Second Address
- Andrew R. Peterson
- 200 Hawkins Dr
- Iowa City, IA
- Zip : 52242-1007
- Fax : (319) 384-6295
- Phone : (319) 353-8392
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 39155 | IA |
| N | 2081S0010X | Sports Medicine | 48969 | WI |
| N | 213ES0000X | Sports Medicine | 48969 | WI |
National Provider Identifier
| NPI | 1528023504 |
|---|---|
| Provider Name | Andrew R. Peterson |
| First Address | Iowa City, IA 52242-1007 |
| Second Address | Iowa City, IA 52242-1007 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/04/2006 |
| Last Update Date | 27/09/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.