Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID A PETERSEN, MD
ActiveDAVID A PETERSEN, MD is a Family Medicine healthcare provider located in LEWISTON, Idaho. NPI 1619050424 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LEWISTON, ID
Registration Details
- NPI Number
- 1619050424
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2006 (19.800661867902 yrs)
- Last Updated
- Jan 18, 2016
- Licenses
-
M4779 (ID)MD00026059 (WA)
Practice Information
- Address
-
2315 8TH STLEWISTON, ID, 835017301Browse ID providers · Browse ZIP 83501
- Phone
- 2087461383
- Fax
- 2087466348
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in LEWISTON, ID
| Name | Credential | NPI |
|---|---|---|
| DR. CHRISTINE C SCHALLER | MD | 1063415404 |
| DR. DONALD J GREGGAIN | M.D. | 1154328052 |
| MR. RAYMOND M. PAZ | M.D. | 1760475206 |
| LARRY DEAN HARRIES | MD | 1033105994 |
| RICHARD SCOTT LEON | MD | 1972562841 |
| DR. MICHAEL J BALDECK | D.O. | 1669428967 |
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.