Individual
DR. WARREN ALBERT PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
78 EAST 900 NORTH, SPANISH FORK, UT 84660-1232
(801) 794-1490
Mailing address
78 E 900 N, SPANISH FORK, UT 84660-1232
(801) 794-1490
(801) 794-1495
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
179077-1204
UT
Other
Enumeration date
03/16/2006
Last updated
08/20/2008
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