Search › Idaho › 101YM0800X
Polly Peterson, PH.D
NPI 1740340678 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1406 E Franklin St
Boise, ID 83712 - Phone
- (208) 331-1936
- Fax
- (208) 331-1937
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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 Idaho