NPI 1033326020
Travis a Peterson, DO
Practice location
- Address
- 1055 N 500 W STE 207, Provo, UT 84604-3305
- Phone
- (801) 375-4263
- Fax
- (801) 429-8085
- Mailing address
- 61 W 13490 S STE 100, Draper, UT 84020-7299
Registered specialties (3)
Orthopaedic Hand Surgery Physician
Primary
Orthopaedic Surgery Physician
Orthopaedic Hand Surgery Physician
Registry record
- NPI
- 1033326020
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 May 2007
- Record last updated
- 4 Sep 2024
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.