NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1154744407 |   |   |   | JOSEPH R. PETERSEN, M.D. | PO BOX 1263 | BURLEY | ID | 833180859 |
1780103507 |   |   |   | AMBULATORY SURGERY CENTER OF BURLEY, LLC | 1344 HILAND AVE STE E | BURLEY | ID | 833181564 |
1790956514 |   |   |   | JOSEPH R. PETERSEN, M.D. | 1344 HILAND AVE STE A | BURLEY | ID | 833181564 |
1902366834 |   |   |   | PAIN & SPINE CONSULTANTS | 1344 HILAND AVENUE, STE A | BURLEY | ID | 83318 |
1225105604 | PETERSEN | JOSEPH | R |   | 1344 HILAND AVE STE A | BURLEY | ID | 833181564 |
1710305768 | ROE | TYLER |   |   | 1344 HILAND AVE STE A | BURLEY | ID | 833181564 |