NPI 1821299751

Chad Peterson, DO

Practitioner MOHS-Micrographic Surgery Physician Spanish Fork, UT

Practice location

Address: 114 E 800 N, Spanish Fork, UT 84660-1209
Phone: (801) 794-1490
Fax: (801) 794-1495

Registered specialties (3)

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 54578581204 (UT)

Other Dermatology providers in Utah →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 4153 (AZ)

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 5457858-1204 (UT)

Registry record

NPI: 1821299751
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 May 2007
Record last updated: 6 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.