WINSTON PETERSEN, PA-C

Physician Assistant

Active Individual
NPI: 1194714717

Practice Address

800 FALLS AVE
SUITE 2
Twin Falls, ID 83301

Phone: (208) 734-6091

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 262207-1206 (UT)

Frequently Asked Questions

NPI 1194714717 is the National Provider Identifier for WINSTON PETERSEN, PA-C, a Physician Assistant provider located in Twin Falls, ID. This NPI was enumerated on October 17, 2005.
WINSTON PETERSEN, PA-C practices at 800 FALLS AVE, SUITE 2, Twin Falls, ID 83301.

Quick Facts

NPI
1194714717
Type
Individual
Enumerated
Oct 17, 2005
Last Updated
Apr 29, 2016

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