PHILLIP PETERSEN, MD

Family Medicine

Active Individual
NPI: 1295730661

Practice Address

301 CEDAR ST
Orofino, ID 83544

Phone: (208) 476-4555

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes M5405 (ID)

Frequently Asked Questions

NPI 1295730661 is the National Provider Identifier for PHILLIP PETERSEN, MD, a Family Medicine provider located in Orofino, ID. This NPI was enumerated on June 14, 2005.
PHILLIP PETERSEN, MD practices at 301 CEDAR ST, Orofino, ID 83544.

Quick Facts

NPI
1295730661
Type
Individual
Enumerated
Jun 14, 2005
Last Updated
Dec 19, 2017

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