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NPI Verification

National Provider Identifier: 1629284732

Chad Allan Peterson, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

Practice Address

980 W IRONWOOD DR

STE. 104

COEUR D ALENE, ID 838142668

Phone: 208-667-0621

NPI Enumeration Date

May 15, 2007

NPI Number

1629284732

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry