Joseph R Petersen is a Specialist based in Burley, ID. Joseph R Petersen practices in Burley, ID. The NPI Number for Joseph R Petersen is 1225105604 and holds a License No. M5283 (Idaho).
The current practice location address for Joseph R Petersen is 1344 Hiland Ave Ste A, Burley, ID and can be reached out via phone at 208-678-1138 and via fax at 208-678-5833.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010003563 | 01 | ID | BLUE SHIELD PROVIDER NO. |
| C36979 | 01 | ID | DMBA |
| 014917 | 01 | ID | SELECTCARE |
| I000490 | 01 | ID | TRICARE |
| 74096 | 01 | ID | BLUE CROSS PROVIDER NUMBE |
| 0791870001 | 01 | ID | MEDICARE DMERC |
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