NPI 1376822569
Michael Peterson
Practice location
- Address
- 18750 N 6750 E, Mount Pleasant, UT 84647-2309
- Phone
- (435) 462-5491
- Fax
- (435) 462-5492
- Mailing address
- 619 N 500 W, Provo, UT 84601-1547
Registered specialties
Counselor
Primary
Registry record
- NPI
- 1376822569
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Aug 2011
- Record last updated
- 5 Aug 2011
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.