Whalio Doctors

NPI 1043229685

Robert L Petersen, MD

Practitioner Hospitalist Physician Boise, ID

Practice location

Address
1055 N Curtis Rd, Boise, ID 83706-1309
Phone
(208) 367-7350
Fax
(208) 367-3951
Mailing address
3340 E Goldstone Way, Meridian, ID 83642-1026

Registered specialties

Hospitalist Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence M8085 (ID)

Registry record

NPI
1043229685
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Aug 2006
Record last updated
31 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.