| Andrew D Petersen, DO | |
|
524 W 300 N Ste 203, Provo, UT 84601-2669 | |
| (801) 607-5268 | |
| (801) 607-5271 |
| Full Name | Andrew D Petersen |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 524 W 300 N Ste 203, Provo, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124011572 | NPI | - | NPPES |
| 184033201 | Medicaid | TX | |
| 207Q00000X | Other | KS | TAXONOMY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M4441 (Texas) | Secondary |
| 207Q00000X | Family Medicine | 8382699-1204 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew D Petersen, DO 524 W 300 N Ste 203, Provo, UT 84601-2669 Ph: (801) 607-5268 | Andrew D Petersen, DO 524 W 300 N Ste 203, Provo, UT 84601-2669 Ph: (801) 607-5268 |
Dr. Robert Joel Bush, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 750 N Freedom Blvd Ste 300, Provo, UT 84601 Phone: 801-852-1443 | |
Janee Namealoha Sells, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3200 N Canyon Rd Ste C, Provo, UT 84604 Phone: 385-375-8724 | |
Dr. Marlin L Christianson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 West 940 North, Provo, UT 84604 Phone: 801-357-7930 Fax: 801-357-7014 | |
Tyson Schwab, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 395 W Bulldog Blvd Ste 205, Provo, UT 84604 Phone: 801-357-1770 | |
Mr. Gregory Lawrence Nielsen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1750 N Wymount Terrace Dr, Provo, UT 84604 Phone: 801-422-2771 Fax: 801-422-0761 | |
Mr. Tyler Jason Fieldsted, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 W 940 N, Provo, UT 84604 Phone: 801-357-7926 Fax: 801-357-7927 | |
Dr. Matthew Craig Evans, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1157 N 300 W, #201, Provo, UT 84604 Phone: 801-581-2000 |