Individual
MR. JOSEPH D PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
208 CEDAR CREEK TERRACE, IONE, WA 99139
(509) 442-3514
(509) 442-3436
Mailing address
PO BOX 808, CHEWELAH, WA 99109-0808
(509) 935-6001
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
IP60045993
WA
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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