COLTON BRAD PETERSON

OGDEN, UT
NPI1801457627
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  11306023-1206)
Enumeration Date2019-06-24
Last Update Date2019-10-25
Business Address
COLTON BRAD PETERSON
4403 HARRISON BLVD STE 2400
OGDEN, UT 84403-3297
Phone number: 801-387-2750
Mailing Address
COLTON BRAD PETERSON
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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