ANDREW PETERSEN, DO
Family Medicine
Active
Individual
NPI: 1124011572
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 8382699-1204 (UT) |
Frequently Asked Questions
NPI 1124011572 is the National Provider Identifier for ANDREW PETERSEN, DO, a Family Medicine provider located in Provo, UT. This NPI was enumerated on August 31, 2005.
ANDREW PETERSEN, DO practices at 524 W 300 N STE 203, Provo, UT 84601.
Quick Facts
- NPI
- 1124011572
- Type
- Individual
- Enumerated
- Aug 31, 2005
- Last Updated
- May 21, 2014
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