Search › Utah › 207XS0106X
Travis Peterson, DO
NPI 1033326020 · on the registry since 2007
Practice
- Address
- 1055 N 500 W Ste 207
Provo, UT 84604 - Phone
- (801) 375-4263
- Fax
- (801) 429-8085
- Organisation at this address
- Revere Health Pc
Revere Health Pc
Total Renal Care Inc
Total Renal Care Inc
Central Utah Clinic, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 236
Additional practice sites
- 61 W 13490 S Ste 100, Draper, UT
- 1055 N 500 W, Provo, UT
Registry record
- Primary taxonomy
- 207XS0106X
207XS0106X
- Also registered as
- 207X00000X
207XS0106X - Licence states on file
- WA, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah