Andrew D Petersen in Provo - Family Medicine
Andrew D Petersen - NPI 1124011572
Andrew D Petersen is a Family Medicine in Provo, Utah. Andrew D Petersen practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Andrew D Petersen is 1124011572. The last update date is 2014-05-21.
Andrew D Petersen's current location address is 524 W 300 N Ste 203, Provo, Utah. You can contact this provider via phone number 8016075268 and fax number 8016075271. The mailing address for Andrew D Petersen is 524 W 300 N Ste 203, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Name | Andrew D Petersen |
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Address | 524 W 300 N Ste 203, Provo, Utah |
Phone Number | 8016075268 |
Fax Number | 8016075271 |
Sole Proprietor | N |
Credentials | DO |
NPI Number Detail
NPI Number | 1124011572 |
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Provider Enumeration Date | 2005-08-31 |
Last Updated Date | 2014-05-21 |
Provider Mailing Address Detail
Address | 524 W 300 N Ste 203 |
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City | Provo |
State | Utah (UT) |
Post Code | 846012669 |
Phone Number | 8016075268 |
Fax Number | 8016075271 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | M4441 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
184033201 | TX | -- | |
207Q00000X | KS | TAXONOMY |
Post Comment/ Review Below
What is the Andrew D Petersen's 1124011572?
The Andrew D Petersen's NPI (National Provider Identifier) Number is 1124011572. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Andrew D Petersen is physically located?
The Andrew D Petersen is situated at the following address: 524 W 300 N Ste 203, Provo, UT 846012669.
What is Andrew D Petersen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Andrew D Petersen is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did Andrew D Petersen receive its 1124011572 assignment from the Centers for Medicare & Medicaid Services?
The Andrew D Petersen was assigned its 1124011572 on 2005-08-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Andrew D Petersen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Andrew D Petersen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-05-21.