NPI 1134198807

Warren Albert Peterson, DO

Practitioner Dermatology Physician Spanish Fork, UT

Practice location

Address: 78 East 900 North, Spanish Fork, UT 84660-1232
Phone: (801) 794-1490
Mailing address: 78 E 900 N, Spanish Fork, UT 84660-1232

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 179077-1204 (UT)

Other Dermatology providers in Utah →

Registry record

NPI: 1134198807
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Mar 2006
Record last updated: 20 Aug 2008

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.