HENRY PETERSEN

COEUR D ALENE, ID
NPI1891123543
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA-1146)
Enumeration Date2013-10-16
Last Update Date2017-01-24
Business Address
Mr. HENRY PETERSEN PA-C
700 W IRONWOOD DR STE 320
COEUR D ALENE, ID 83814-2656
Phone number: 208-625-5250
Mailing Address
Mr. HENRY PETERSEN PA-C
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814-6051
Phone number: 208-625-5085
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