Search › Idaho › 207LP2900X
Tyler Roe, DO
NPI 1710305768 · on the registry since 2014
Practice
- Address
- 1344 Hiland Ave Ste A
Burley, ID 83318 - Phone
- (208) 678-7246
- 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 PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 4502 Medical Dr, San Antonio, TX
Registry record
- Primary taxonomy
- 207LP2900X
207LP2900X
- Also registered as
- 207L00000X
- Licence states on file
- TX, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-04-13
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