Individual
TREVOR JUSTIN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
2002 N MAIN ST STE 3, CEDAR CITY, UT 84721-9812
(435) 867-1960
Mailing address
2002 N MAIN ST STE 3, CEDAR CITY, UT 84721-9812
(435) 867-1960
(435) 867-1962
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9034650-4405
UT
Other
Enumeration date
01/20/2021
Last updated
03/31/2021
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