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1659376010
PETER W CRECELIUS
OROFINO, ID
NPI
1659376010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M4777)
Enumeration Date
2005-06-14
Last Update Date
2009-05-11
Business Address
-- PETER W CRECELIUS MD
301 CEDAR ST
OROFINO, ID 83544-9029
Phone number: 208-476-4555
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Mailing Address
-- PETER W CRECELIUS MD
301 CEDAR ST
OROFINO, ID 83544-9029
Phone number: 208-476-4555
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