Organization · NPI-2
Peterson Oximetry Services, INC.
Respiratory Therapist, Certified · Middleton, ID
NPI number1275722084
StatusActive
Last updated in NPPESAug 20, 2009
Details
- NPI
- 1275722084
- Entity type
- Organization (NPI-2)
- Legal business name
- Peterson Oximetry Services, INC.
- Organization subpart
- No
- Enumeration date
- Oct 17, 2007
- Last updated
- Aug 20, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 227800000X | Respiratory Therapist, Certified | – | – | Yes |
Practice location
625 Triumph DrMiddleton, ID 83644-6022
Phone 208-461-2824
Mailing address
625 Triumph DrMiddleton, ID 83644-6022
Authorized official
James Peterson
Secy
2084612824
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