Chad Peterson D.O.

NPI 1821299751 - Dermatology - 207N00000X

NPI Details
NPI 1821299751
Gender Male
Enumeration Date 05/29/2007
Last Updated 09/30/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
114 E 800 N
SPANISH FORK UT, 84660-1209, US
Phone (801) 794-1490
Fax (801) 794-1495
Business Location
114 E 800 N
SPANISH FORK UT, 84660-1209, US
Phone (801) 794-1490
Fax
Toxanomy
Taxonomy Code 207N00000X
License State Utah
License Number 5457858-1204
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According to our database, Dr. Chad Peterson D.O. NPI is 1821299751, taxonomy code is 207N00000X and license number is 5457858-1204, license state is located at Utah. Chad Peterson D.O. physically located at 114 E 800 N, Spanish Fork UT, 84660-1209. NPI Number Chad Peterson D.O. has the Individual type.

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1821299751 NPI number is provided on an as is basis without warranty of any kind. 1821299751 is maintained by the National Plan & Provider Enumeration System. The contents of Chad Peterson D.O. are for informational purposes only.