COLBY B PETERSEN

ST GEORGE, UT
NPI1740229913
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  370382-1206)
Enumeration Date2006-06-05
Last Update Date2023-11-27
Business Address
COLBY B PETERSEN
1380 E MEDICAL CENTER DR STE # 4100
ST GEORGE, UT 84790-2156
Phone number: 435-251-2900
Mailing Address
COLBY B PETERSEN
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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