Joseph Petersen

Individual Active
NPI 1225105604
Specialist Burley, ID

NPI 1225105604 belongs to Joseph Petersen, a specialist with a practice location in Burley, ID. The NPI was issued on November 29, 2006, and the record was last updated in NPPES on July 9, 2007.

This record hasn't been updated in NPPES since 2007. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X M5283 (ID)

Practice location

1344 Hiland Ave Ste A
Burley, ID 83318-1564
Phone: (208) 678-1138

Local context

Active NPPES records list 6 providers with specialist as the primary taxonomy within 25 miles of this practice location's ZIP code, 5 of them within 10 miles.

The same primary taxonomy is listed by 299 in Idaho and 89,687 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Joseph R Petersen
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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