JAMES D PETERSEN

POCATELLO, ID
NPI1437724432
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  MRM-2027)
Enumeration Date2021-05-21
Last Update Date2021-05-24
Business Address
JAMES D PETERSEN MD
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-234-4700
Mailing Address
JAMES D PETERSEN MD
500 S 11TH AVE STE 400
POCATELLO, ID 83201-4880
Phone number:
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