MRS. Holly Suzanne Peterson, PA-C

NPI #1285278614 in Rexburg, Idaho

Provider Information

NPI Number: 1285278614
Entity Type: Individual
Name: MRS. Holly Suzanne Peterson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 29, 2019
Last Updated: Aug 26, 2024

Practice Location

Address: 72 S 1ST E STE 101
City: Rexburg
State: Idaho
ZIP Code: 83440-1965
Phone: (208) 356-4900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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