NPI 1013260702
Joshua Phillip Peterson
Practice location
- Address
- 750 N 200 E, Provo, UT 84606-1705
- Phone
- (801) 373-4760
Registered specialties
Social Worker
Primary
Registry record
- NPI
- 1013260702
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Oct 2012
- Record last updated
- 18 Oct 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.