DR. JOSEPH PETERSEN

Specialist

Active Individual
NPI: 1225105604

Practice Address

1344 HILAND AVE STE A
Burley, ID 83318

Phone: (208) 678-1138

Specialties

Specialty Code Primary License
Specialist 174400000X Yes M5283 (ID)

Frequently Asked Questions

NPI 1225105604 is the National Provider Identifier for DR. JOSEPH PETERSEN, a Specialist provider located in Burley, ID. This NPI was enumerated on November 29, 2006.
DR. JOSEPH PETERSEN practices at 1344 HILAND AVE STE A, Burley, ID 83318.

Quick Facts

NPI
1225105604
Type
Individual
Enumerated
Nov 29, 2006
Last Updated
Jul 9, 2007

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