person
David A Petersen, MD
Family Medicine Physician in Lewiston, Idaho
NPI 1619050424

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. You can also correspond with David A Petersen through the mailing address at 2315 8TH ST, LEWISTON, ID - 83501-7301 (mailing address contact number: 208-746-1383).

Location: 2315 8Th St, Lewiston, ID, 83501-7301
person
Provider Profile Details
NPI Number
1619050424
Provider Name
David A Petersen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2315 8Th St, Lewiston, ID, 83501-7301
Phone Number
208-746-1383
Fax Number
208-746-6348
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
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
institution
Provider Business Practice Location Address Details
Address
2315 8Th St
City
State
Zip
83501-7301
Phone Number
208-746-1383
Fax Number
208-746-6348
person
Provider Business Mailing Address Details
Address
2315 8Th St
City
State
Zip
83501-7301
Phone Number
208-746-1383
Fax Number
208-746-6348
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
M4779 (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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