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Search › Montana › 363A00000X

Jedidiah Petersen, PA

NPI 1366870206 · on the registry since 2013

Practice

Address
6 13th Ave E
Polson, MT 59860
Phone
(406) 883-5680
Fax
(406) 883-8960
Organisation at this address
Credena Health Llc
Western Montana Clinic Pc
Montana Cancer Specialists
St Joseph Hospital Corporation
St Joseph Orthopedic And Sport
Inferred from a shared address, not stated in the registry.
Clinicians at this address
60

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-12-08

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 Montana