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1376657965
ERNEST C PETERSON
BOISE, ID
NPI
1376657965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: ID M-4978)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
Dr. ERNEST C PETERSON MD
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1136
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Mailing Address
Dr. ERNEST C PETERSON MD
7212 AVON ST
BOISE, ID 83704-4509
Phone number: 208-377-0129
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