MARK W PETERSON

LEWISTON, ID
NPI1356312524
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: ID  M5240)
Additional Taxonomies2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: ID  M5240)
Enumeration Date2006-01-27
Last Update Date2007-07-08
Business Address
Dr. MARK W PETERSON M.D.
415 6TH ST
LEWISTON, ID 83501-2431
Phone number: 208-799-5335
Mailing Address
Dr. MARK W PETERSON M.D.
531 4TH AVE
LEWISTON, ID 83501-2450
Phone number: 208-743-4393