DR. Leon C Peterson, O.D.

NPI #1013943828 in Idaho Falls, Idaho

Provider Information

NPI Number: 1013943828
Entity Type: Individual
Name: DR. Leon C Peterson, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 23, 2006
Last Updated: Mar 13, 2014

Practice Location

Address: 501 S WOODRUFF AVE
City: Idaho Falls
State: Idaho
ZIP Code: 83401-5200
Phone: (208) 522-6271

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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