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Search › Utah › Physician Assistant

Derek Petersen, PA-C

NPI 1104365113 · on the registry since 2017

Practice

Address
2240 Adams Ave
Ogden, UT 84401
Phone
(801) 393-5355
Organisation at this address
Midtown Community Health Center Inc
Midtown Community Health Center Inc
Midtown Community Health Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
32

Additional practice sites

  • 5285 S 400 E Ste A, Washington Terrace, UT

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-02-03

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