ANDREW PETERSEN, DO

Family Medicine Physician · PROVO, UT

Individual Active Opted out of Medicare NPI 1124011572

Taxonomy & licensure

Specialty	Code	Primary	License	State
Family Medicine Physician	207Q00000X	✓	8382699-1204	UT
Family Medicine Physician	207Q00000X		M4441	TX

Medicare eligibility

Part B: Yes
DME: Yes
Home health: Yes
Power mobility: Yes
Hospice: Yes

Opted out of Medicare (Emergency Medicine), effective 2016-06-13 through 2028-06-13.

Other Family Medicine Physician providers in Utah

AARON ROBINSON, D.O.
PROVO
NPI 1245356922
AARON ROBINSON D.O. PLLC
PROVO
NPI 1205023314
ALAN COLLEDGE, MD
PROVO
NPI 1629169370
ALEXIS SOMERS, DO
PROVO
NPI 1346566171
ANGEL LYBBERT, M.D.
PROVO
NPI 1295171874
BENJAMIN NORDBY, M.D.
PROVO
NPI 1972765402
BLAKE TAYLOR, D.O.
PROVO
NPI 1114458262
BOSTON GUBLER, MD
PROVO
NPI 1134988827

See all Family Medicine Physician providers in Utah →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.