Organization · Type 2 NPI
Joseph R. Petersen, M.d.
Durable Medical Equipment & Medical Supplies · Burley, ID
NPI number
1154744407
Active
Practice location
1344 Hiland Ave, Suite A
Burley, ID 83318-1564
Fax (208) 678-5833
Mailing address
PO Box 1263
Burley, ID 83318-0859
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | None listed |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
3 other providers at this address
Other durable medical equipment & medical supplies providers in Burley
About NPI 1154744407
Joseph R. Petersen, M.d.'s National Provider Identifier is 1154744407, issued on Jan 22, 2014. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Burley, ID. The record was last updated on Jul 21, 2022.