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Ryan Peterson, DO
NPI 1346237393 · on the registry since 2005
Practice
- Address
- 1553 W 9000 S
West Jordan, UT 84088 - Phone
- (801) 563-0300
- Fax
- (801) 565-4690
- Organisation at this address
- Shopko Stores Operating Co Llc
Shopko Stores Operating Co. LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-10-29
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