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Mary T Carr Peterson, PA
Physician Assistant in Ankeny, Iowa
NPI 1164496212

Mary T Carr Peterson is a Physician Assistant based in Des Moines, IA. Mary T Carr Peterson practices in Ankeny, IA and has the professional credentials of PA. The NPI Number for Mary T Carr Peterson is 1164496212 and holds a License No. 001597 (Iowa).

The current practice location address for Mary T Carr Peterson is 1410 Sw Tradition Dr Ste 120, Ankeny, IA and can be reached out via phone at 515-875-9040 and via fax at 515-875-9041. You can also correspond with Mary T Carr Peterson through the mailing address at PO BOX 424, DES MOINES, IA - 50302-0424 (mailing address contact number: 515-875-9255).

Location: 1410 Sw Tradition Dr Ste 120, Ankeny, IA, 50302-0424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164496212
Provider Name
Mary T Carr Peterson
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1410 Sw Tradition Dr Ste 120, Ankeny, IA, 50302-0424
Phone Number
515-875-9040
Fax Number
515-875-9041
Provider Enumeration Date
02/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
37904 01 WELLMARK
0634600 05 IA
1117994 05 IA
37902 01 WELLMARK
37903 01 WELLMARK
37905 01 WELLMARK
2117994 05 IA
3117994 05 IA
institution
Provider Business Practice Location Address Details
Address
1410 Sw Tradition Dr Ste 120
City
Ankeny
State
Iowa
Zip
50023-9188
Phone Number
515-875-9040
Fax Number
515-875-9041
person
Provider Business Mailing Address Details
Address
1410 Sw Tradition Dr Ste 120
City
Ankeny
State
Iowa
Zip
50023-9188
Phone Number
515-875-9040
Fax Number
515-875-9041
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
001597 (Iowa)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
001597 (Iowa)
Definition
Definition to come...
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