Individual provider · Type 1 NPI

Winston N. Petersen, PA-C

Physician Assistant · Twin Falls, ID

NPI number 1194714717 Active

Practice location

800 Falls Ave, Suite 2
Twin Falls, ID 83301-3366

Call (208) 734-6091 Map

Fax (208) 734-4654

Mailing address

811 N 900 W
Orem, UT 84057-7701

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X262207-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1194714717

Winston N. Petersen, PA-C's National Provider Identifier is 1194714717, issued on Oct 17, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Twin Falls, ID. The record was last updated on Apr 29, 2016.