Search › Idaho › 363A00000X
Winston Petersen, PA-C
NPI 1194714717 · on the registry since 2005
Practice
- Address
- 800 Falls Ave
Suite 2
Twin Falls, ID 83301 - Phone
- (208) 734-6091
- Fax
- (208) 734-4654
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-04-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho