| David A Petersen, MD | |
|
2315 8th St, Lewiston, ID 83501-7301 | |
| (208) 746-1383 | |
| (208) 746-6348 |
| Full Name | David A Petersen |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2315 8th St, Lewiston, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619050424 | NPI | - | NPPES |
| 31256 | Other | WA | WA LABOR & INDUSTRIES |
| 2009450 | Medicaid | WA | |
| 1116491 | Other | ID | DMERC |
| 1619050424 | Medicaid | ID | |
| 1619050424 | Other | ID | REGENCE BLUE SHIELD |
| 80094286 | Other | ID | RR MEDICARE |
| DF573 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M4779 (Idaho) | Primary |
| 207Q00000X | Family Medicine | MD00026059 (Washington) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| David A Petersen, MD 2315 8th St, Lewiston, ID 83501-7301 Ph: (208) 746-1383 | David A Petersen, MD 2315 8th St, Lewiston, ID 83501-7301 Ph: (208) 746-1383 |
Dr. Christina R Bjornstad, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 625 6th Ave, Lewiston, ID 83501 Phone: 208-743-8226 Fax: 208-746-2069 | |
Larry Dean Harries, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 307 St Johns Way, Ste 4, Lewiston, ID 83501 Phone: 208-743-8585 Fax: 208-743-0118 | |
Dr. Christine C Schaller, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-983-5120 Fax: 208-983-5404 | |
Dr. Donald J Greggain, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 6th St Ste 3c, Lewiston, ID 83501 Phone: 208-750-3840 Fax: 208-750-3839 | |
Glenn E Jefferson Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Cheryl A Mallory, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Celso R Chavez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1522 17th St, Lewiston, ID 83501 Phone: 208-743-8416 Fax: 208-743-4642 |