Peter W Crecelius, MD

NPI #1659376010 in Orofino, Idaho

Provider Information

NPI Number: 1659376010
Entity Type: Individual
Name: Peter W Crecelius, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 14, 2005
Last Updated: May 11, 2009

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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