Individual
DR. JONATHAN PAUL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 S 1000 E, SUITE 200, PAYSON, UT 84651-5590
(801) 465-2800
(801) 465-4770
Mailing address
15 S 1000 E STE 200, PAYSON, UT 84651-5592
(801) 465-2800
(801) 465-4770
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6527930-1205
UT
Other
Enumeration date
04/12/2007
Last updated
08/11/2011
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