Evan Douglas Peterson
Family Doctor
6520 Se 14th St
Des Moines
, Iowa 50320-1846
Evan Douglas Peterson
Family Doctor
6520 Se 14th St
Des Moines
, Iowa 50320-1846
(515) 577-6220
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Evan Douglas Peterson
- 103 Sw 3rd St Apt 403
- Des Moines, IA
- Zip : 50309-4832
- Phone : (515) 577-6220
Second Address
- Evan Douglas Peterson
- 6520 Se 14th St
- Des Moines, IA
- Zip : 50320-1846
- Fax : (515) 953-2136
- Phone : (515) 953-1500
Reviews
FAQs
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What type of doctor is Evan Douglas Peterson
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 088343 | IA |
National Provider Identifier
| NPI | 1003330036 |
|---|---|
| Provider Name | Evan Douglas Peterson |
| First Address | Des Moines, IA 50309-4832 |
| Second Address | Des Moines, IA 50320-1846 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/08/2017 |
| Last Update Date | 09/05/2019 |
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.