Individual provider · Type 1 NPI

Anne M. Peterson

Surgical Physician Assistant · Meridian, ID

NPI number 1447688312 Active

Practice location

3399 E Louise Dr, Ste 400
Meridian, ID 83642-5047

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA112 (ID)

Surgical Physician Assistant: Definition to come...

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About NPI 1447688312

Anne M. Peterson's National Provider Identifier is 1447688312, issued on Oct 31, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Meridian, ID. The record was last updated on Oct 31, 2013.