Individual provider · Type 1 NPI
Joseph R. Petersen
Specialist · Burley, ID
NPI number
1225105604
Active
Practice location
1344 Hiland Ave Ste A
Burley, ID 83318-1564
Fax (208) 678-5833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | M5283 (ID) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4 other providers at this address
- Joseph R. Petersen, M.d.Specialist Burley, ID NPI 1790956514
- Magic Valley Pain Specialists, PLLCPain Medicine (Anesthesiology) Physician Burley, ID NPI 1003564998
- Lyndsie ChatburnNurse Practitioner Burley, ID NPI 1346608999
- Tyler Roe, DOPain Medicine (Anesthesiology) Physician Burley, ID NPI 1710305768
Other specialist providers in Burley
About NPI 1225105604
Joseph R. Petersen's National Provider Identifier is 1225105604, issued on Nov 29, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Burley, ID. The record was last updated on Jul 9, 2007.