MARY CARR PETERSON, PA

Physician Assistant

Active Individual
NPI: 1164496212

Practice Address

1410 SW TRADITION DR STE 110
Ankeny, IA 50023

Phone: (515) 875-9696

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X No 001597 (IA)
Physician Assistant 363A00000X Yes 001597 (IA)

Frequently Asked Questions

NPI 1164496212 is the National Provider Identifier for MARY CARR PETERSON, PA, a Physician Assistant provider located in Ankeny, IA. This NPI was enumerated on February 15, 2006.
MARY CARR PETERSON, PA practices at 1410 SW TRADITION DR STE 110, Ankeny, IA 50023.

Quick Facts

NPI
1164496212
Type
Individual
Enumerated
Feb 15, 2006
Last Updated
Aug 7, 2025

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