| Peter W Crecelius, MD | |
|
301 Cedar St, Orofino, ID 83544-9029 | |
| (208) 476-4555 | |
| (208) 476-5385 |
| Full Name | Peter W Crecelius |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 301 Cedar St, Orofino, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659376010 | NPI | - | NPPES |
| B63862 | Other | ID | UPIN # |
| 000175600 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M4777 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Peter W Crecelius, MD 301 Cedar St, Orofino, ID 83544-9029 Ph: (208) 476-4555 | Peter W Crecelius, MD 301 Cedar St, Orofino, ID 83544-9029 Ph: (208) 476-4555 |
Brett T Mumford, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Cedar St, Orofino, ID 83544 Phone: 208-476-5777 Fax: 208-476-5385 | |
Phillip H Petersen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Cedar St, Orofino, ID 83544 Phone: 208-476-4555 Fax: 208-476-5385 | |
Vanessa Kimberly Brown, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Cedar St, Orofino, ID 83544 Phone: 208-476-4555 Fax: 208-476-5385 | |
John Edward Riley, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 Hospital Dr, Orofino, ID 83544 Phone: 208-476-4511 Fax: 208-476-7898 | |
Clayton James Bunt, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 301 Cedar St, Clearwater Valley Hospital & Clinics, Orofino, ID 83544 Phone: 208-476-4555 | |
Kelly Mcgrath, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Cedar St, Orofino, ID 83544 Phone: 208-476-4555 Fax: 208-476-5385 |