NPI 1003330036

Evan Douglas Peterson, PAC

Practitioner Physician Assistant Des Moines, IA

Practice location

Address: 6520 SE 14th St, Des Moines, IA 50320-1846
Phone: (515) 953-1500
Fax: (515) 953-2136
Mailing address: 103 SW 3rd St APT 403, Des Moines, IA 50309-4832

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 088343 (IA)

Other Physician Assistant providers in Iowa →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 088343 (IA)

Other Family Medicine providers in Iowa →

Registry record

NPI: 1003330036
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Aug 2017
Record last updated: 30 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.