Organization
ELITE CARPAL TUNNEL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS PETERSON DO (AUTHORIZED OFFICIAL)
(509) 947-7944
Entity
Organization
Contact information
Practice address
61 W 13490 S STE 100, DRAPER, UT 84020-7299
(801) 997-5770
(385) 446-6278
Mailing address
61 W 13490 S STE 100, DRAPER, UT 84020-7299
(801) 997-5770
(385) 446-6278
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
10/05/2022
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