Organization
WHOLE HEALTH MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW D PETERSEN D.O (OWNER)
(801) 607-5270
Entity
Organization
Contact information
Practice address
524 W 300 N STE 203, PROVO, UT 84601-2669
(801) 607-5270
(801) 607-5271
Mailing address
524 W 300 N STE 203, PROVO, UT 84601-2669
(801) 607-5270
(801) 607-5271
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
UT
Other
Enumeration date
04/27/2015
Last updated
07/21/2022
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