LELAND DAVID PETERSON

ROCK ISLAND, IL
NPI1962608836
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IL  046007274)
Enumeration Date2007-06-26
Last Update Date2014-01-14
Business Address
Dr. LELAND DAVID PETERSON OD
4032 BLACKHAWK RD
ROCK ISLAND, IL 61201-7064
Phone number: 309-786-9734
Mailing Address
Dr. LELAND DAVID PETERSON OD
8309 N KNOXVILLE AVE
PEORIA, IL 61615-2170
Phone number: 309-693-9540
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