Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILLIP H PETERSEN, MD
ActivePHILLIP H PETERSEN, MD is a Family Medicine healthcare provider located in OROFINO, Idaho. NPI 1295730661 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · OROFINO, ID
Registration Details
- NPI Number
- 1295730661
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2005 (21.023246158933 yrs)
- Last Updated
- Dec 19, 2017
- License
-
M5405 (ID)
Practice Information
- Address
-
301 CEDAR STOROFINO, ID, 835449029Browse ID providers · Browse ZIP 83544
- Phone
- 2084764555
- Fax
- 2084765385
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in OROFINO, ID
| Name | Credential | NPI |
|---|---|---|
| PETER W CRECELIUS | MD | 1659376010 |
| KELLY MCGRATH | MD | 1609871060 |
| CHARITY D ROBINSON | — | 1972508497 |
| VANESSA KIMBERLY BROWN | M.D. | 1295816502 |
| CLAYTON JAMES BUNT | MD | 1578646345 |
| DR. JOSHUA JACOB MORRIS | MD | 1619173143 |
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.