CLARISSA PETERSON, P.A.
Physician Assistant
Active
Individual
NPI: 1740513324
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 7457934-1206 (UT) |
Frequently Asked Questions
NPI 1740513324 is the National Provider Identifier for CLARISSA PETERSON, P.A., a Physician Assistant provider located in Provo, UT. This NPI was enumerated on September 14, 2009.
CLARISSA PETERSON, P.A. practices at 299 E 900 S STE 101, Provo, UT 84606.
Quick Facts
- NPI
- 1740513324
- Type
- Individual
- Enumerated
- Sep 14, 2009
- Last Updated
- May 20, 2024
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