NPI 1427467208
Mathew Petersen, ABOC
Practice location
- Address
- 9450 S 1300 E, Sandy, UT 84094-5555
- Phone
- (801) 576-6433
- Fax
- (801) 576-5643
Registered specialties
Optician
Primary
Registry record
- NPI
- 1427467208
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Aug 2014
- Record last updated
- 8 Dec 2021
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.