Individual
AMY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5677 S 1475 E STE 1A, OGDEN, UT 84403-7003
(385) 238-4119
Mailing address
138 W 800 N APT 1, SUNSET, UT 84015-3100
(385) 445-3420
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
F24-116303
UT
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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