Individual
RYAN THOMAS PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2019 E RIVERSIDE DR STE A101, ST GEORGE, UT 84790-8147
(801) 253-6888
(385) 900-5928
Mailing address
9980 S 300 W, STE 300, ST GEORGE, UT 84790
(801) 273-0001
(385) 900-5928
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
1104
NV
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
7930013-0501
UT
Other
Enumeration date
08/08/2008
Last updated
09/25/2024
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