| NPI | 1437563699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D PETERSON Doctor Of Podiatric Medicine 208-346-7443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: ID P-223) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-09-17 |