Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREG ROBERT PETERSON
Active Sole ProprietorGREG ROBERT PETERSON is a Bus healthcare provider located in DAVENPORT, Iowa. NPI 1154847069 is currently active in the NPPES registry. Verify at CMS.
Bus · DAVENPORT, IA
Registration Details
- NPI Number
- 1154847069
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2017 (8.9665678241069 yrs)
- Last Updated
- Jul 21, 2022
- License
-
580AH7464 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2723 E 29TH CTDAVENPORT, IA, 528032112Browse IA providers · Browse ZIP 52803
- Phone
- 5633707061
- Fax
- 5634216099
- Primary Specialty
-
Bus
343900000X
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.