Neil Peterson

NPI #1003169053 in Provo, Utah

Provider Information

NPI Number
1003169053
Entity Type
Individual
Name
Neil Peterson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner
Enumeration Date
Oct 16, 2012
Last Updated
Oct 30, 2025

Practice Location

Address
500 SPENCER W KIMBALL TOWER BLDG KMBL
City
Provo
State
Utah
ZIP Code
84602-4704
Phone
(801) 422-4893

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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