Individual
DR. PETER JAMES KILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1157 N SUMMERBROOK AVE STE 120, MERIDIAN, ID 83642-8759
(208) 593-4484
(208) 593-4491
Mailing address
1157 N SUMMERBROOK AVE STE 120, MERIDIAN, ID 83642-8759
(208) 593-4484
(208) 593-4491
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
60132112
WA
207Y00000X
Otolaryngology Physician
A70221
CA
207Y00000X
Otolaryngology Physician
Primary
M-11713
ID
Other
Enumeration date
05/11/2006
Last updated
02/03/2023
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