Ernest C Peterson in Boise - Surgery

Ernest C Peterson - NPI 1376657965

Ernest C Peterson is a Surgery in Boise, Idaho. Ernest C Peterson practices all healthcare services and medical treatments related to Surgery. The NPI Number for Ernest C Peterson is 1376657965. The last update date is 2007-07-08.

Ernest C Peterson's current location address is 500 W Fort St, Boise, Idaho. You can contact this provider via phone number 2084221136 and fax number 2084221243. The mailing address for Ernest C Peterson is 500 W Fort St, Boise, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Ernest C Peterson
Address 500 W Fort St, Boise, Idaho
Phone Number 2084221136
Fax Number 2084221243
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1376657965
Provider Enumeration Date 2006-08-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 500 W Fort St
City Boise
State Idaho (ID)
Post Code 837024501
Phone Number 2084221136
Fax Number 2084221243

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No M-4978
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

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FAQs about Ernest C Peterson

What is the unique identifier code issued to Ernest C Peterson by the Centers for Medicare & Medicaid Services?

The Ernest C Peterson has been assigned the NPI (National Provider Identifier) 1376657965. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Ernest C Peterson's physical address?

The Ernest C Peterson is physically located at 500 W Fort St, in the city of Boise, ID, with the postal code 837024501.

What is Ernest C Peterson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Ernest C Peterson's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.

On what date did the Ernest C Peterson receive the assignment of its 1376657965 from the Centers for Medicare & Medicaid Services?

The Ernest C Peterson was issued its 1376657965 by the Centers for Medicare & Medicaid Services on 2006-08-19.

As of what date were the details pertaining to Ernest C Peterson last refreshed?

The information related to the Ernest C Peterson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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