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Search › Idaho › 122300000X

Marcus Peterson, DDS

NPI 1659474005 · on the registry since 2006

Practice

Address
402 6th St
Rupert, ID 83350
Phone
(208) 650-7941
Fax
(208) 436-0735
Organisation at this address
Family Health Services Corporation
Family Health Services Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-04-13

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