Jedidiah Allen Petersen PA

  • NPI 1366870206
According to our database, the NPI number for Jedidiah Allen Petersen PA is 1366870206 and activated since 10 years ago. Jedidiah Allen Petersen PA is an individual provider who specializes in Physician Assistant, and the primary practice location is 6 13th Ave E, Polson, MT 59860. You can also contact Jedidiah Allen Petersen PA via telephone number is (406) 883-5680. Provider NPI information was last updated on 12/08/2015.

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Overview of Jedidiah Allen Petersen PA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 10/30/2013
  • Last updated: 12/08/2015

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PA-1110
  • License State: ID

Provider Mailing Address

  • Address: Po Box 262
    Liberty Lake, WA 99019
  • Phone: 208-232-7862
  • Fax: 208-232-7869

Provider Practice Location

  • Address: 6 13th Ave E
    Polson, MT 59860
  • Phone: 406-883-5680
  • Fax: 406-883-8960

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PA-1110
  • License State: ID
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jedidiah Allen Petersen PA?
  • A: The npi number for Jedidiah Allen Petersen PA is 1366870206.
  • Q: What are Jedidiah Allen Petersen PA's specialties?
  • A: Jedidiah Allen Petersen PA's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Jedidiah Allen Petersen PA?
  • A: The medical license number for Jedidiah Allen Petersen PA is PA-1110 and issued in ID in USA.
  • Q: Where is Jedidiah Allen Petersen PA practice location?
  • A: Jedidiah Allen Petersen PA is practicing at 6 13th Ave E, Polson, MT 59860.
  • Q: How to contact Jedidiah Allen Petersen PA?
  • A: You can contact Jedidiah Allen Petersen PA via 406-883-5680.