Individual
PETER B FERRARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1450 AVIATION DR STE 100, HAILEY, ID 83333-8785
(208) 788-3434
(208) 788-9238
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M13805
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q023484
—
TN
Enumeration date
06/13/2013
Last updated
08/19/2024
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