Mary T Carr Peterson, PA

NPI #1164496212 in Ankeny, Iowa

Provider Information

NPI Number: 1164496212
Entity Type: Individual
Name: Mary T Carr Peterson, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Feb 15, 2006
Last Updated: Aug 7, 2025

Practice Location

Address: 1410 SW TRADITION DR STE 110
City: Ankeny
State: Iowa
ZIP Code: 50023
Phone: (515) 875-9696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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