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Dr. Barry John Peterson, DO
Allergy Physician in Rexburg, Idaho
NPI 1447456272

Barry John Peterson is an Allergy Physician based in Rexburg, ID and is specialized in Allergy. Barry John Peterson practices in Rexburg, ID and has the professional credentials of DO. The NPI Number for Barry John Peterson is 1447456272 and holds a License No. O-0522 (Idaho).

The current practice location address for Barry John Peterson is 256 N 2Nd E, Rexburg, ID and can be reached out via phone at 208-656-9646 and via fax at 208-656-9645.

Location: 256 N 2Nd E, Rexburg, ID, 83440-1638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447456272
Provider Name
Barry John Peterson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
256 N 2Nd E, Rexburg, ID, 83440-1638
Phone Number
208-656-9646
Fax Number
208-656-9645
Provider Enumeration Date
06/27/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
256 N 2Nd E
City
Rexburg
State
Idaho
Zip
83440-1638
Phone Number
208-656-9646
Fax Number
208-656-9645
person
Provider Business Mailing Address Details
Address
256 N 2Nd E
City
Rexburg
State
Idaho
Zip
83440-1638
Phone Number
208-656-9646
Fax Number
208-656-9645
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
207KA0200X
License No.
O-0522 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
O-0522 (Idaho)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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