Joseph Petersen

NPI 1225105604 · on the registry since 2006 · sole proprietor

Practice

Address: 1344 Hiland Ave Ste A
Burley, ID 83318
Phone: (208) 678-1138
Fax: (208) 678-5833
Organisation at this address: Joseph R. Petersen, M.D.
F. B. Fitts Jr., M.D. Pc
Joseph R. Petersen, M.D.
Pain & Spine Consultants
Stoddard & Bingham Medical Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 174400000X
174400000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-09

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