Andrew D Petersen, DO

NPI #1124011572 in Provo, Utah

Provider Information

NPI Number
1124011572
Entity Type
Individual
Name
Andrew D Petersen, DO
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
DO
Enumeration Date
Aug 31, 2005
Last Updated
May 21, 2014

Practice Location

Address
524 W 300 N STE 203
City
Provo
State
Utah
ZIP Code
84601-2669
Phone
(801) 607-5268

Specialties & Taxonomy Codes

Specialty
Family Medicine

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