Derek Petersen PA-C

  • NPI 1104365113
According to our database, the NPI number for Derek Petersen PA-C is 1104365113 and activated since 7 years ago. Derek Petersen PA-C is an individual provider who specializes in Physician Assistant, and the primary practice location is 2240 Adams Ave, Ogden, UT 84401. You can also contact Derek Petersen PA-C via telephone number is (801) 393-5355. Provider NPI information was last updated on 02/23/2017.

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Overview of Derek Petersen PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 02/23/2017
  • Last updated: 02/23/2017

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 10232646-1206
  • License State: UT

Provider Mailing Address

  • Address: 2240 Adams Ave
    Ogden, UT 84401
  • Phone: 801-393-5355
  • Fax:

Provider Practice Location

  • Address: 2240 Adams Ave
    Ogden, UT 84401
  • Phone: 801-393-5355
  • Fax:

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 10232646-1
  • License State: UT
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Derek Petersen PA-C?
  • A: The npi number for Derek Petersen PA-C is 1104365113.
  • Q: What are Derek Petersen PA-C's specialties?
  • A: Derek Petersen PA-C's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Derek Petersen PA-C?
  • A: The medical license number for Derek Petersen PA-C is 10232646-1206 and issued in UT in USA.
  • Q: Where is Derek Petersen PA-C practice location?
  • A: Derek Petersen PA-C is practicing at 2240 Adams Ave, Ogden, UT 84401.
  • Q: How to contact Derek Petersen PA-C?
  • A: You can contact Derek Petersen PA-C via 801-393-5355.
Medicare Specialty
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Sports Medicine
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