NPI 1811336241

Justin Peterson, MD

Practitioner Surgery Physician Logan, UT

Practice location

Address: Budge General Surgery 1350 N 500 E, Logan, UT 84341-0001
Phone: (435) 716-1950
Fax: (435) 716-1950
Mailing address: Ky Clinic General Surgery 740 S Limestone, Lexington, KY 40536-0001

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 10933355-1205 (UT)

Other Surgery providers in Utah →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence IP1433 (KY)

Registry record

NPI: 1811336241
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2013
Record last updated: 24 Apr 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.