Individual
DR. LESLIE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
5107 S 900 E STE 140, MURRAY, UT 84117-6630
(801) 746-3555
(801) 746-3556
Mailing address
5107 S 900 E STE 140, MURRAY, UT 84117-6630
(801) 746-3555
(801) 746-3556
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
350301-7100
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350301-7100
UTAH STATE MEDICAL LICENSE
UT
Enumeration date
10/19/2006
Last updated
06/10/2020
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