SearchIdaho207ZP0102X

Alan Peterson, M.D

NPI 1992751325 · on the registry since 2006 · sole proprietor

Practice

Address
415 6th St
Lewiston, ID 83501
Phone
(208) 746-0516
Fax
(208) 746-4989
Organisation at this address
Michael Kos Md, Ps
St Joseph Snf Unit
St Joseph Hospital Llc
Valley Anesthesia, P.A.
Phoenix Radiology, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
107

Registry record

Primary taxonomy
207ZP0102X
207ZP0102X
Also registered as
207ZP0102X
Licence states on file
ID, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-10-24

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