| NPI | 1891569653 |
|---|---|
| Other Name | RYAN PETERSON DPM |
| Entity Type | Organization |
| Authorized Contact | RYAN T PETERSON Authorized Official 435-523-3370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-12-18 |