Phillip H Petersen, MD

NPI #1295730661 in Orofino, Idaho

Provider Information

NPI Number
1295730661
Entity Type
Individual
Name
Phillip H Petersen, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
MD
Enumeration Date
Jun 14, 2005
Last Updated
Dec 19, 2017

Practice Location

Address
301 CEDAR ST
State
Idaho
ZIP Code
83544-9029
Phone
(208) 476-4555

Specialties & Taxonomy Codes

Specialty
Family Medicine

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Clearwater Valley Hospital & Clinics INC

Part of Clearwater Valley Hospital & Clinics INC

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