DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EVAN DOUGLAS PETERSON, PA-C

Active Sole Proprietor

EVAN DOUGLAS PETERSON, PA-C is a Physician Assistant healthcare provider located in DES MOINES, Iowa. NPI 1003330036 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · DES MOINES, IA

Registration Details

NPI Number
1003330036
Provider Type
Individual
Gender
Male
NPI Issued
Aug 1, 2017 (9.0377597950056 yrs)
Last Updated
Oct 30, 2024
Licenses
088343 (IA)
088343 (IA)
Sole Proprietor
Yes

Practice Information

Address
6520 SE 14TH ST
DES MOINES, IA, 503201846
Browse IA providers · Browse ZIP 50320
Phone
5159531500
Fax
5159532136
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in DES MOINES, IA

Name Credential NPI
MS. ANNE M NELSON P.A.-C. 1023010519
DANNY DARRELL CHAMBERS P.A.-C. 1205828092
JOLENE MARIE GIVANT P.A.-C 1073505780
ELIZABETH COYTE PA-C 1619963550
CHAD BRADSHAW PA-C 1942296876
BARBARA GLASS PA-C 1689660482
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.