MR. WILEY PETERSEN

PA-C specializing in physician assistant in Chubbuck, Idaho

NPI: 1568920080

Provider Type

1

Practice Locations

Mailing Location

5014 MARY LN

POCATELLO, ID 83202

📞 2082415819

Practice Location

134 W CHUBBUCK RD

CHUBBUCK, ID 83202

📞 2084170102

📠 2082423219

Provider Information

Gender:M
Sole Proprietor:Yes
Enumeration Date:3/4/2019
Last Updated:5/17/2024

Credentials

Primary Credential:PA-C
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