Individual provider · Type 1 NPI

Jedidiah Allen Petersen, PA

Physician Assistant · Polson, MT

NPI number 1366870206 Active

Practice location

6 13th Ave E
Polson, MT 59860-5315

Call (406) 883-5680 Map

Fax (406) 883-8960

Mailing address

PO Box 262
Liberty Lake, WA 99019-0262

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA-1110 (ID)

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 1366870206

Jedidiah Allen Petersen, PA's National Provider Identifier is 1366870206, issued on Oct 30, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Polson, MT. The record was last updated on Dec 8, 2015.