PHILLIP H PETERSEN

OROFINO, ID
NPI1295730661
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M5405)
Enumeration Date2005-06-14
Last Update Date2017-12-19
Business Address
PHILLIP H PETERSEN MD
301 CEDAR ST
OROFINO, ID 83544-9029
Phone number: 208-476-4555
Mailing Address
PHILLIP H PETERSEN MD
301 CEDAR ST
OROFINO, ID 83544-9029
Phone number: 208-476-4555