MR. Russell Henry Peterson, M.S. is a mental health counselor in Idaho Falls, ID. MR. Russell Henry Peterson, M.S. NPI is 1093879637. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2375 E SUNNYSIDE RD
SUITE C
IDAHO FALLS, ID
ZIP 83404-280
Phone: (208) 529-5777
Fax: (208) 529-5778
The NPI 1093879637 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 12/20/2006 and was last updated on 7/8/2007.