Clarissa L Peterson, P.A.

NPI #1740513324 in Provo, Utah

Provider Information

NPI Number: 1740513324
Entity Type: Individual
Name: Clarissa L Peterson, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Sep 14, 2009
Last Updated: May 20, 2024

Practice Location

Address: 299 E 900 S STE 101
City: Provo
State: Utah
ZIP Code: 84606-6107
Phone: (801) 374-9660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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