person
Mr. Wiley Drew Petersen, PA-C
Family Medicine Physician in Fort Hall, Idaho
NPI 1568920080

Wiley Drew Petersen is a Family Medicine Physician based in Fort Hall, ID. Wiley Drew Petersen practices in Fort Hall, ID and has the professional credentials of PA-C. The NPI Number for Wiley Drew Petersen is 1568920080 and holds a License No. PA-1714 (Idaho).

The current practice location address for Wiley Drew Petersen is 717 Mission Rd, Fort Hall, ID and can be reached out via phone at 208-238-5435 and via fax at 208-238-5440.

Location: 717 Mission Rd, Fort Hall, ID, 83203-0306
person
Provider Profile Details
NPI Number
1568920080
Provider Name
Wiley Drew Petersen
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
717 Mission Rd, Fort Hall, ID, 83203-0306
Phone Number
208-238-5435
Fax Number
208-238-5440
Provider Enumeration Date
03/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
717 Mission Rd
City
State
Zip
83203
Phone Number
208-238-5435
Fax Number
208-238-5440
person
Provider Business Mailing Address Details
Address
717 Mission Rd
City
State
Zip
83203
Phone Number
208-238-5435
Fax Number
208-238-5440
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
PA-1714 (Idaho)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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