BRENDAN PETERSEN

TWIN FALLS, ID
NPI1043569056
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  RNA-844A)
Enumeration Date2012-09-05
Last Update Date2012-11-20
Business Address
-- BRENDAN PETERSEN CRNA
801 POLE LINE RD W
TWIN FALLS, ID 83301-5810
Phone number: 208-814-1000
Mailing Address
-- BRENDAN PETERSEN CRNA
2405 INDEPENDENCE ST
TWIN FALLS, ID 83301
Phone number: 480-734-4071
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