Dr. Barry John Peterson
Allergist Otolaryngology/Facial Plastic Surgery
256 N 2nd E
Rexburg
, Idaho 83440-1638
Dr. Barry John Peterson
Allergist Otolaryngology/Facial Plastic Surgery
256 N 2nd E
Rexburg
, Idaho 83440-1638
(208) 656-9645
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About
Features
Specialties
- Allergist
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Dr. Barry John Peterson
- 256 N 2nd E
- Rexburg, ID
- Zip : 83440-1638
- Fax : (208) 656-9645
- Phone : (208) 656-9646
Second Address
- Dr. Barry John Peterson
- 256 N 2nd E
- Rexburg, ID
- Zip : 83440-1638
- Fax : (208) 656-9645
- Phone : (208) 656-9646
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207KA0200X | Allergist | O-0522 | ID |
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | O-0522 | ID |
National Provider Identifier
| NPI | 1447456272 |
|---|---|
| Provider Name | Dr. Barry John Peterson |
| First Address | Rexburg, ID 83440-1638 |
| Second Address | Rexburg, ID 83440-1638 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2007 |
| Last Update Date | 11/06/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.