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1326013426
PAUL D PETERSON
SIOUX CITY, IA
NPI
1326013426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 03181)
Enumeration Date
2006-02-22
Last Update Date
2011-01-31
Business Address
-- PAUL D PETERSON DO
2600 OUTER DR N
SIOUX CITY, IA 51104-1585
Phone number: 712-239-3300
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Mailing Address
-- PAUL D PETERSON DO
814 PIERCE ST SUITE 102
SIOUX CITY, IA 51101-1058
Phone number: 712-226-2600
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