Dr JOHN D PETERSON is a male medical professional, specializing in Podiatry. He graduated in 2010 from Temple University School Of Medicine.
2116 E 25TH ST
IDAHO FALLS
ID
834046475
Tel:
Npi | 1780985234 |
Pac Id | 2365686565 |
Professional Enrollment Id | I20150227000996 |
Last Name | PETERSON |
First Name | JOHN |
Middle Name | D |
Suffix | |
Gender | M |
Credential | |
Medical School Name | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2010 |
Primary Specialty | PODIATRY |
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Line 1 Street Address | 2116 E 25TH ST |
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Marker Of Address Line 2 Suppression | |
City | IDAHO FALLS |
State | ID |
Zip Code | 834046475 |
Phone Number | |
Hospital Affiliation Ccn 1 | 130018 |
Hospital Affiliation Lbn 1 | EASTERN IDAHO REGIONAL MEDICAL CENTER |
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Professional Accepts Medicare Assignment | Y |
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