JOHN D PETERSON

Dr JOHN D PETERSON is a male medical professional, specializing in Podiatry. He graduated in 2010 from Temple University School Of Medicine.

Contact

2116 E 25TH ST
IDAHO FALLS
ID
834046475

Tel:

JOHN D PETERSON Information

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
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 2116 E 25TH ST
Line 2 Street Address
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
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

Do you know JOHN D PETERSON?

Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.