KYLAN D PETERSON

TWIN FALLS, ID
NPI1750542452
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery
(Licence: ID  O0713)
Enumeration Date2008-06-24
Last Update Date2015-01-02
Business Address
Dr. KYLAN D PETERSON D.O.
730 N COLLEGE RD SUITE B
TWIN FALLS, ID 83301-3382
Phone number: 208-814-7350
Mailing Address
Dr. KYLAN D PETERSON D.O.
PO BOX 587
TWIN FALLS, ID 83303-0587
Phone number: 208-814-7400