MARCUS E PETERSON

RUPERT, ID
NPI1659474005
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D8782)
Enumeration Date2006-09-07
Last Update Date2021-04-13
Business Address
MARCUS E PETERSON DDS
402 6TH ST
RUPERT, ID 83350-1619
Phone number: 208-650-7941
Mailing Address
MARCUS E PETERSON DDS
794 EASTLAND DR
TWIN FALLS, ID 83301-6856
Phone number: 208-737-6718