Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOSEPH R PETERSEN
Active Sole ProprietorSpecialist · BURLEY, ID
Registration Details
- NPI Number
- 1225105604
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 29, 2006 (19.416900281486 yrs)
- Last Updated
- Jul 9, 2007
- License
-
M5283 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1344 HILAND AVE STE ABURLEY, ID, 833181564Browse ID providers · Browse ZIP 83318
- Phone
- 2086781138
- Fax
- 2086785833
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in BURLEY, ID
| Name | Credential | NPI |
|---|---|---|
| DR. MARK A DOWDLE | MD | 1982693966 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.