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Andrew D Petersen, DO
Family Medicine Physician in Provo, Utah
NPI 1124011572

Andrew D Petersen is a Family Medicine Physician based in Provo, UT. Andrew D Petersen practices in Provo, UT and has the professional credentials of DO. The NPI Number for Andrew D Petersen is 1124011572 and holds a License No. M4441 (Utah).

The current practice location address for Andrew D Petersen is 524 W 300 N Ste 203, Provo, UT and can be reached out via phone at 801-607-5268 and via fax at 801-607-5271.

Location: 524 W 300 N Ste 203, Provo, UT, 84601-2669
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124011572
Provider Name
Andrew D Petersen
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
524 W 300 N Ste 203, Provo, UT, 84601-2669
Phone Number
801-607-5268
Fax Number
801-607-5271
Provider Enumeration Date
08/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
184033201 05 TX
207Q00000X 01 KS TAXONOMY
institution
Provider Business Practice Location Address Details
Address
524 W 300 N Ste 203
City
Provo
State
Utah
Zip
84601-2669
Phone Number
801-607-5268
Fax Number
801-607-5271
person
Provider Business Mailing Address Details
Address
524 W 300 N Ste 203
City
Provo
State
Utah
Zip
84601-2669
Phone Number
801-607-5268
Fax Number
801-607-5271
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
M4441 (Texas)
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 is not limited by age, sex, organ system, or disease entity.
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