Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TODD CHARLES PETERSON, D.O.
Active Sole ProprietorTODD CHARLES PETERSON, D.O. is a Sports Medicine (Orthopaedic) healthcare provider located in CLIVE, Iowa. NPI 1407085103 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · CLIVE, IA
Registration Details
- NPI Number
- 1407085103
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 2, 2009 (17.163918695125 yrs)
- Last Updated
- Aug 7, 2015
- Licenses
-
5101018316 (MI)DO-04737 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12499 UNIVERSITY AVECLIVE, IA, 503258288Browse IA providers · Browse ZIP 50325
- Phone
- 5154402676
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XS0114X
- Additional Specialty
- Sports Medicine (Orthopaedic)
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.