Joseph R. Petersen, M.d.
Durable Medical Equipment & Medical Supplies
1344 Hiland Ave, Suite A, Burley
Idaho, 83318-1564
208-678-1138 208-678-5833
Joseph R. Petersen, M.d. is a Durable Medical Equipment & Medical Supplies in Burley, Idaho. It is located at 1344 Hiland Ave, Suite A, Burley and it's customer support contact number is 208-678-1138. The authorized person of Joseph R. Petersen, M.d. is Dr. Joseph R Petersen who is Md/owner of this DME and his contact number is 208-678-1138.
Joseph R. Petersen, M.d. is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Joseph R. Petersen, M.d. type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Joseph R. Petersen, M.d. |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 1344 Hiland Ave, Suite A, Burley,
Idaho, 83318-1564 |
| Phone: | 208-678-1138 |
| Fax: | 208-678-5833 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Joseph R Petersen |
| Position: | Md/owner |
| Contact Number: | 208-678-1138 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1154744407 |
| NPI Enumeration Date: | 22 Jan, 2014 |
| NPI Last Update On: | 21 Jul, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Joseph R. Petersen, M.d. are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | Idaho | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1225105604 | Medicaid | Idaho | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 1263,
Burley, Idaho |
| Zip: | 83318-0859 |
| Phone Number: | 208-678-1138 |
| Fax Number: | 208-678-5833 |
Patients can reach Joseph R. Petersen, M.d. at
1344 Hiland Ave, Suite A, Burley, Idaho or can
call on customer care at 208-678-1138.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.