Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON R PETERSON, R D
ActiveJASON R PETERSON, R D is a Renal Nutrition healthcare provider located in DES MOINES, Iowa. NPI 1073668000 is currently active in the NPPES registry. Verify at CMS.
Renal Nutrition · DES MOINES, IA
Registration Details
- NPI Number
- 1073668000
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 23, 2007 (19.529208893183 yrs)
- Last Updated
- Jul 8, 2007
- License
-
01563 (IA)
Practice Information
- Address
-
1111 6TH AVESUITE 510DES MOINES, IA, 503142610Browse IA providers · Browse ZIP 50314
- Phone
- 5156435275
- Fax
- 5156435276
- Primary Specialty
-
Renal Nutrition
133VN1005X
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.