WINSTON N PETERSEN

TWIN FALLS, ID
NPI1194714717
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  262207-1206)
Enumeration Date2005-10-17
Last Update Date2016-04-29
Business Address
-- WINSTON N PETERSEN PA-C
800 FALLS AVE SUITE 2
TWIN FALLS, ID 83301-3366
Phone number: 208-734-6091
Mailing Address
-- WINSTON N PETERSEN PA-C
811 N 900 W
OREM, UT 84057-7701
Phone number: 801-434-7600