NPI 1982650131
Kirk C Peterson, MD
Practice location
- Address
- 801 Pole Line Rd W Department of Pathology, Twin Falls, ID 83301-5810
- Phone
- (208) 814-0363
- Fax
- (208) 814-0911
Registered specialties
Anatomic Pathology Physician
Primary
Registry record
- NPI
- 1982650131
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 May 2006
- Record last updated
- 27 Oct 2020
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.