CODY PETERSON, M.D.

Emergency Medicine

Active Individual
NPI: 1245764117

Practice Address

777 HOSPITAL WAY
Pocatello, ID 83201

Phone: (208) 417-7569

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
Emergency Medicine 207P00000X Yes TLM-4130 (ID)

Frequently Asked Questions

NPI 1245764117 is the National Provider Identifier for CODY PETERSON, M.D., a Emergency Medicine provider located in Pocatello, ID. This NPI was enumerated on April 17, 2017.
CODY PETERSON, M.D. practices at 777 HOSPITAL WAY, Pocatello, ID 83201.

Quick Facts

NPI
1245764117
Type
Individual
Enumerated
Apr 17, 2017
Last Updated
Jun 25, 2020

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