Wiley Petersen, PA-C

NPI 1568920080 · on the registry since 2019 · sole proprietor

Practice

Address: 134 W Chubbuck Rd
Chubbuck, ID 83202
Phone: (208) 417-0102
Fax: (208) 242-3219
Organisation at this address: Finn Chiropractic,Pllc
Advanced Heallhcare Solutions Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-05-17

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