| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1154744407 | JOSEPH R. PETERSEN, M.D. | PO BOX 1263 | BURLEY | ID | 833180859 | |||
| 1790956514 | JOSEPH R. PETERSEN, M.D. | 1344 HILAND AVE STE A | BURLEY | ID | 833181564 | |||
| 1225105604 | PETERSEN | JOSEPH | R | 1344 HILAND AVE STE A | BURLEY | ID | 833181564 |