Individual
ERIN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
776 DIAGONAL ST APT 11, ST GEORGE, UT 84770-2638
(801) 726-9103
Mailing address
776 DIAGONAL ST APT 11, ST GEORGE, UT 84770-2638
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14139270-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2022
Last updated
01/12/2025
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