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Primary Practice Address
6 13TH AVE E
POLSON, MT 59860-5315 US
Accepts Medicare Payment

PECOS Enrolled

Jedidiah Allen Petersen

Physician Assistant


Jedidiah Allen Petersen

Overview

Jedidiah Allen Petersen is a Physician Assistant in the POLSON area and has over 12 years of experience. Jedidiah Allen Petersen primary office location is at 6 13TH AVE E and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 2013

Jedidiah Allen Petersen is affiliated with one hospital in the POLSON area, PROVIDENCE ST JOSEPH MEDICAL CENTER. The NPI number is 1366870206 and the information was updated approximately 10 years ago.

Jedidiah Allen Petersen is affiliated with one medical group in the POLSON area, PROVIDENCE ST JOSEPH MEDICAL CENTER.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Yes

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
6 13TH AVE E
POLSON, MT 59860-5315 US
Phone: (406)-883-5680
Fax:
Practice Mailing Information
PO BOX 262
LIBERTY LAKE, WA 59860-5315 US
Phone: (208)-232-7862
Fax: (208)-232-7869
License NumberState
PA-1110ID