Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Joseph R Petersen

Individual provider Specialist · NPI 1225105604

Dr. Joseph R Petersen is a Specialist in Burley, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2006

Practice location Address checks out

1344 Hiland Ave Ste A
Burley, ID 83318-1564
Phone: (208) 678-1138
Fax: (208) 678-5833
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence M5283 (ID)

Record details

NPI number1225105604
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 29, 2006
Last updated in NPPESJuly 9, 2007

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