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1629284732
CHAD ALLAN PETERSON
COEUR D ALENE, ID
NPI
1629284732
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: ID M-10619)
Enumeration Date
2007-05-15
Last Update Date
2012-05-31
Business Address
DR. CHAD ALLAN PETERSON M.D.
980 W IRONWOOD DR STE. 104
COEUR D ALENE, ID 83814-2668
Phone number: 208-667-0621
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Mailing Address
DR. CHAD ALLAN PETERSON M.D.
980 W IRONWOOD DR STE. 104
COEUR D ALENE, ID 83814-2668
Phone number: 208-667-0621
Copy
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