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General NPI Number Information
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NPI Number | 1184676454
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Entity Type | Individual
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Provider Name | PETER B LIVERS MD
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Gender | Male
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 520 S EAGLE RD STE 1243
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City | MERIDIAN
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State | ID
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Zip | 83642-6351
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Country | US
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Telephone | 208-884-1919
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Fax |
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Provider Business Mailing Address
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Address Line | 520 S EAGLE RD STE 1243
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City | MERIDIAN
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State | ID
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Zip | 83642-6351
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Country | US
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Telephone | 208-884-1919
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | M4195
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | M4195
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | M4195
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License Number State | ID
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