JEDIDIAH PETERSEN, PA
Physician Assistant
Active
Individual
NPI: 1366870206
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA-1110 (ID) |
Frequently Asked Questions
NPI 1366870206 is the National Provider Identifier for JEDIDIAH PETERSEN, PA, a Physician Assistant provider located in Polson, MT. This NPI was enumerated on October 30, 2013.
JEDIDIAH PETERSEN, PA practices at 6 13TH AVE E, Polson, MT 59860.
Quick Facts
- NPI
- 1366870206
- Type
- Individual
- Enumerated
- Oct 30, 2013
- Last Updated
- Dec 8, 2015
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