Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Joseph R. Petersen, MD

Organization Specialist · NPI 1790956514

Joseph R. Petersen, MD is a Specialist in Burley, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008

Practice location Address checks out

1344 Hiland Ave Ste A
Burley, 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

Specialist (primary) Taxonomy 174400000X · Licence M5283 (ID)

Record details

NPI number1790956514
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Petersen — Physician/Owner · (208) 678-1138
Other names Orthopedic Surgery Center
NPI enumeratedMarch 19, 2008
Last updated in NPPESMarch 19, 2008
Mailing address1344 Hiland Ave Ste A, P. O. Box 1263, Burley, ID 83318-1564

Other providers in Burley