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Joseph R. Petersen, M.d.
Durable Medical Equipment & Medical Supplies in Burley, Idaho
NPI 1154744407

Joseph R. Petersen, M.d. is a Durable Medical Equipment & Medical Supplies based in Burley, ID. Joseph R. Petersen, M.d. practices in Burley, ID. The NPI Number for Joseph R. Petersen, M.d. is 1154744407 and holds a License No. (Idaho).

The current practice location address for Joseph R. Petersen, M.d. is 1344 Hiland Ave, Burley, ID and can be reached out via phone at 208-678-1138 and via fax at 208-678-5833.

Location: 1344 Hiland Ave, Burley, ID, 83318-0859
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154744407
Provider Name
Joseph R. Petersen, M.d.
Credential
Provider Entity Type
Organization
Address
1344 Hiland Ave, Burley, ID, 83318-0859
Phone Number
208-678-1138
Fax Number
208-678-5833
Provider Enumeration Date
01/22/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1225105604 05 ID
institution
Provider Business Practice Location Address Details
Address
1344 Hiland Ave
City
Burley
State
Idaho
Zip
83318-1564
Phone Number
208-678-1138
Fax Number
208-678-5833
person
Provider Business Mailing Address Details
Address
1344 Hiland Ave
City
Burley
State
Idaho
Zip
83318-1564
Phone Number
208-678-1138
Fax Number
208-678-5833
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
(Idaho)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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