Individual
LEIF CORBIN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
37 N STONE MOUNTAIN DR, ST GEORGE, UT 84770-8010
(435) 229-8659
Mailing address
37 N STONE MOUNTAIN DR, ST GEORGE, UT 84770-8010
(435) 229-8659
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
UT012780601432
UT
Other
Enumeration date
04/10/2025
Last updated
04/12/2025
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