Dr. Joseph R Petersen
Dr. Joseph R Petersen is a Specialist in Burley, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2006
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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Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence M5283 (ID) |
|---|
Record details
| NPI number | 1225105604 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 29, 2006 |
| Last updated in NPPES | July 9, 2007 |
| Mailing address | 1344 Hiland Ave Ste A, P. O. Box 1263, Burley, ID 83318-1564 |
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Gilbert K Crane MD
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Joseph R. Petersen, MD
1344 Hiland Ave Ste A, Burley, ID 83318-1564 · (208) 678-1138