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1205822038
PETER T HETHERINGTON
DES MOINES, IA
NPI
1205822038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: IA 1833)
Enumeration Date
2005-09-27
Last Update Date
2011-11-17
Business Address
PETER T HETHERINGTON DO
1212 PLEASANT ST SUITE 300
DES MOINES, IA 50309-1453
Phone number: 515-241-8923
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Mailing Address
PETER T HETHERINGTON DO
1212 PLEASANT ST SUITE 300
DES MOINES, IA 50309-1453
Phone number: 515-241-8923
Copy
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