Cody Allen Peterson, M.D.

NPI #1245764117 in Pocatello, Idaho

Provider Information

NPI Number
1245764117
Entity Type
Individual
Name
Cody Allen Peterson, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Emergency Medicine
Credential
M.D.
Enumeration Date
Apr 17, 2017
Last Updated
Jun 25, 2020

Practice Location

Address
777 HOSPITAL WAY
State
Idaho
ZIP Code
83201-5175
Phone
(208) 417-7569

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Emergency Medicine

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