Joseph R. Petersen, MD
Joseph R. Petersen, MD is a Durable Medical Equipment & Medical Supplies in Burley, Idaho. Licensed in Idaho. Registered with an NPI since 2014.
- Licensed in
- ID
- In the registry since
- 2014
Practice location Address checks out
1344 Hiland Ave Ste ABurley, ID 83318-1564
Phone: (208) 678-1138
Fax: (208) 678-5833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X (ID) |
|---|
Record details
| NPI number | 1154744407 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joseph Petersen — Md/Owner · (208) 678-1138 |
| NPI enumerated | January 22, 2014 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | Po Box 1263, Burley, ID 83318-0859 |
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