NPI 1073668000
Jason R Peterson, RD
Practice location
- Address
- 1111 6th Ave Suite 510, Des Moines, IA 50314-2610
- Phone
- (515) 643-5275
- Fax
- (515) 643-5276
- Mailing address
- 2213 Grand Ave, Des Moines, IA 50312-5305
Registered specialties
Renal Nutrition Registered Dietitian
Primary
Registry record
- NPI
- 1073668000
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Jan 2007
- Record last updated
- 8 Jul 2007
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.