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Cody Allen Peterson, MD
Emergency Medicine Physician in Pocatello, Idaho
NPI 1245764117

Cody Allen Peterson is a Emergency Medicine Physician based in Scottsdale, ID. Cody Allen Peterson practices in Pocatello, ID and has the professional credentials of MD. The NPI Number for Cody Allen Peterson is 1245764117 and holds a License No. (Idaho).

The current practice location address for Cody Allen Peterson is 777 Hospital Way, Pocatello, ID and can be reached out via phone at 208-417-7569. You can also correspond with Cody Allen Peterson through the mailing address at 9382 E BAHIA DR STE B202, SCOTTSDALE, AZ - 85260-1580 (mailing address contact number: 208-417-7569).

Location: 777 Hospital Way, Pocatello, ID, 85260-1580
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245764117
Provider Name
Cody Allen Peterson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
777 Hospital Way, Pocatello, ID, 85260-1580
Phone Number
208-417-7569
Fax Number
Provider Enumeration Date
04/17/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
777 Hospital Way
City
Pocatello
State
Idaho
Zip
83201-5175
Phone Number
208-417-7569
Fax Number
person
Provider Business Mailing Address Details
Address
777 Hospital Way
City
Pocatello
State
Idaho
Zip
83201-5175
Phone Number
208-417-7569
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
TLM-4130 (Idaho)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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