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Individual

DR. KARI JOSEPHINE PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2963 E COPPER POINT DR, SUITE 150, MERIDIAN, ID 83642-9055
(208) 322-1730
(208) 322-1731
Mailing address
2963 E COPPER POINT DR, SUITE 150, MERIDIAN, ID 83642-9055
(208) 322-8515
(208) 322-1731

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M-11248
ID
207P00000X
Emergency Medicine Physician
MD183336
OR
207P00000X
Emergency Medicine Physician
MD2009-0568
NM

Other

Enumeration date
04/09/2007
Last updated
09/08/2017
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