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

Christian Peterson, MD

Individual provider Behavior Technician · NPI 1811483399

Christian Peterson, MD is a Behavior Technician in Boise, Idaho. Works from 2 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2018
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

500 W Fort St # 111R
Boise, ID 83702-4501
Phone: (208) 422-1000
Fax: (208) 422-1536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 545 W 465 N Ste 100, Providence, UT 84332-8004 — (435) 753-6606

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MRM-2360 (ID)
Behavior Technician Taxonomy 106S00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1811483399
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2018
Last updated in NPPESMay 17, 2024
Certification dateApril 14, 2024

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