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Individual

DR. KIRK C PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
801 POLE LINE RD W, DEPARTMENT OF PATHOLOGY, TWIN FALLS, ID 83301-5810
(208) 814-0363
(208) 814-0911
Mailing address
801 POLE LINE RD W, DEPARTMENT OF PATHOLOGY, TWIN FALLS, ID 83301-5810

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
M-7970
ID

Other

Enumeration date
05/26/2006
Last updated
10/27/2020
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