Search › Idaho › 152W00000X
Jason Petersen, O.D
NPI 1407235948 · on the registry since 2015
Practice
- Address
- 307 S 1st Ave
Sandpoint, ID 83864 - Phone
- (208) 263-8501
- Organisation at this address
- Eye Clinic Of Sandpoint Pa
Eye Clinic Of Sandpoint PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-05-06
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