Winston N Petersen, PA-C

NPI #1194714717 in Twin Falls, Idaho

Provider Information

NPI Number: 1194714717
Entity Type: Individual
Name: Winston N Petersen, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 17, 2005
Last Updated: Apr 29, 2016

Practice Location

Address: 800 FALLS AVE
Address 2: SUITE 2
City: Twin Falls
State: Idaho
ZIP Code: 83301-3366
Phone: (208) 734-6091

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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