David A Petersen is a Family Medicine Physician based in Lewiston, ID. David A Petersen practices in Lewiston, ID and has the professional credentials of MD. The NPI Number for David A Petersen is 1619050424 and holds a License No. M4779 (Idaho).
The current practice location address for David A Petersen is 2315 8Th St, Lewiston, ID and can be reached out via phone at 208-746-1383 and via fax at 208-746-6348.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31256 | 01 | WA | WA LABOR & INDUSTRIES |
| 2009450 | 05 | WA | |
| 1116491 | 01 | ID | DMERC |
| 1619050424 | 05 | ID | |
| 1619050424 | 01 | ID | REGENCE BLUE SHIELD |
| 80094286 | 01 | ID | RR MEDICARE |
| DF573 | 01 | ID | BLUE CROSS |
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