Search › Illinois › 152W00000X
Leland Peterson, OD
NPI 1962608836 · on the registry since 2007
Practice
- Address
- 4032 Blackhawk Rd
Rock Island, IL 61201 - Phone
- (309) 786-9734
- Fax
- (309) 786-9790
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-01-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois