Search › Iowa › 253Z00000X
Mark Peterson, EDS
NPI 1164069696 · on the registry since 2019 · sole proprietor
Practice
- Address
- 5870 Nw 54th Ct
Johnston, IA 50131 - Phone
- (515) 462-4367
Registry record
- Primary taxonomy
- 253Z00000X
253Z00000X
- Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa