DR. Joseph R Petersen

NPI #1225105604 in Burley, Idaho

Provider Information

NPI Number: 1225105604
Entity Type: Individual
Name: DR. Joseph R Petersen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Nov 29, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 1344 HILAND AVE STE A
City: Burley
State: Idaho
ZIP Code: 83318-1564
Phone: (208) 678-1138

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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Organizations

Provider Name	Specialty	City
Bryce W Millar Md, Pllc	Specialist	Burley	AI Deep Dive
Gilbert K Crane MD	Specialist	Burley	AI Deep Dive
Joseph R. Petersen, M.d.	Specialist	Burley	AI Deep Dive

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