Organization
WARREN A PETERSON, D.O.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WARREN A PETERSON (DOCTOR/OWNER)
(801) 224-5200
Entity
Organization
Contact information
Practice address
1385 E 750 N, OREM, UT 84097-5480
(801) 224-5200
(801) 224-2667
Mailing address
1385 E 750 N, OREM, UT 84097-5480
(801) 224-5200
(801) 224-2667
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1790771204
UT
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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