Individual
TYLER PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
134 N 200 E STE 302, ST GEORGE, UT 84770-2899
(288) 043-5288
Mailing address
656 W VERMILLION WIND LN, ST GEORGE, UT 84790-1996
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12611526-4405
UT
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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