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Chase B Petersen, MD
Obstetrics & Gynecology Physician in Logan, Utah
NPI 1407144702

Chase B Petersen is a Obstetrics & Gynecology Physician based in Salt Lake City, UT. Chase B Petersen practices in Logan, UT and has the professional credentials of MD. The NPI Number for Chase B Petersen is 1407144702 and holds a License No. (Utah).

The current practice location address for Chase B Petersen is 1400 N 500 E, Logan, UT and can be reached out via phone at 435-716-1920. You can also correspond with Chase B Petersen through the mailing address at PO BOX 27128, SALT LAKE CITY, UT - 84127-0128 (mailing address contact number: ).

Location: 1400 N 500 E, Logan, UT, 84127-0128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407144702
Provider Name
Chase B Petersen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1400 N 500 E, Logan, UT, 84127-0128
Phone Number
435-716-1920
Fax Number
Provider Enumeration Date
07/20/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1400 N 500 E
City
Logan
State
Utah
Zip
84341
Phone Number
435-716-1920
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 27128
City
Salt Lake City
State
Utah
Zip
84127-0128
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
9346037-1205 (Utah)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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