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Andrew Petersen, DO
NPI 1124011572 · on the registry since 2005
Practice
- Address
- 524 W 300 N Ste 203
Provo, UT 84601 - Phone
- (801) 607-5268
- Fax
- (801) 607-5271
- Organisation at this address
- Whole Health Medical Group
Theta Management Corporation
Wholehealth Medical And WellnessInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Also registered as
- Family Medicine Physician
- Licence states on file
- TX, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-05-21
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