Phillip H Petersen in Orofino - Family Medicine
Phillip H Petersen - NPI 1295730661
Phillip H Petersen is a Family Medicine in Orofino, Idaho. Phillip H Petersen practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Phillip H Petersen is 1295730661. The last update date is 2017-12-19.
Phillip H Petersen's current location address is 301 Cedar St, Orofino, Idaho. You can contact this provider via phone number 2084764555 and fax number 2084765385. The mailing address for Phillip H Petersen is 301 Cedar St, Orofino, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip H Petersen |
|---|---|
| Address | 301 Cedar St, Orofino, Idaho |
| Phone Number | 2084764555 |
| Fax Number | 2084765385 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1295730661 |
|---|---|
| Provider Enumeration Date | 2005-06-14 |
| Last Updated Date | 2017-12-19 |
Provider Mailing Address Detail
| Address | 301 Cedar St |
|---|---|
| City | Orofino |
| State | Idaho (ID) |
| Post Code | 8354490290 |
| Phone Number | 2084764555 |
| Fax Number | 2084765385 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | M5405 |
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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 i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3883100 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Phillip H Petersen by the Centers for Medicare & Medicaid Services?
The Phillip H Petersen has been issued the NPI (National Provider Identifier) 1295730661, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Phillip H Petersen located?
The Phillip H Petersen is located at 301 Cedar St, Orofino, ID 8354490290.
What is the area of specialization for Phillip H Petersen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Phillip H Petersen is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date was the 1295730661 assigned to Phillip H Petersen?
The Phillip H Petersen was issued its 1295730661 on 2005-06-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Phillip H Petersen's details last updated?
The information pertaining to the Phillip H Petersen, including its address, specialty, and other details, was most recently updated on 2017-12-19.