ERNEST C PETERSON

BOISE, ID
NPI1376657965
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: ID  M-4978)
Enumeration Date2006-08-19
Last Update Date2007-07-08
Business Address
Dr. ERNEST C PETERSON MD
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1136
Mailing Address
Dr. ERNEST C PETERSON MD
7212 AVON ST
BOISE, ID 83704-4509
Phone number: 208-377-0129