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

David A Petersen, MD

Individual provider Family Medicine Physician · NPI 1619050424

David A Petersen, MD is a Family Medicine Physician in Lewiston, Idaho. Licensed in Idaho and Washington. Registered with an NPI since 2006.

Licensed in
ID, WA
In the registry since
2006
Specialties on file
2
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

2315 8th St
Lewiston, ID 83501-7301
Phone: (208) 746-1383
Fax: (208) 746-6348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M4779 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD00026059 (WA)

Record details

NPI number1619050424
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 23, 2006
Last updated in NPPESJanuary 18, 2016
Mailing address2315 8th St, Lewiston, ID 83501-7301

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