| Lee M Peterson, MD | |
|
3550 N University Ave, Suite 250, Provo, UT 84604 | |
| (801) 374-9625 | |
| (801) 374-9690 |
| Full Name | Lee M Peterson |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 3550 N University Ave, Provo, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316987613 | NPI | - | NPPES |
| 870516264009 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 1766331205 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lee M Peterson, MD 3550 N University Ave, Suite 250, Provo, UT 84604 Ph: (801) 374-9625 | Lee M Peterson, MD 3550 N University Ave, Suite 250, Provo, UT 84604 Ph: (801) 374-9625 |
Richard M Thomas, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2547 N 1060 E, Provo, UT 84604 Phone: 801-360-7089 | |
Dr. John Emil Wennergren, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3550 N University Ave Ste 250, Provo, UT 84604 Phone: 801-374-9625 Fax: 801-374-9625 | |
Spencer Larson Hill, DO Surgery Medicare: Medicare Enrolled Practice Location: 3550 N University Ave Ste 250, Provo, UT 84604 Phone: 801-374-9625 Fax: 801-374-9690 | |
Brian Gill, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3550 N. University Ave. #250, Provo, UT 84604 Phone: 801-374-9625 Fax: 801-374-9690 | |
Dr. James M Clayton Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 280 River Park Dr, Ste 240, Provo, UT 84604 Phone: 801-375-4646 Fax: 801-375-1999 | |
James Robert Barrett, MD Surgery Medicare: Medicare Enrolled Practice Location: 3550 N University Ave Ste 250, Provo, UT 84604 Phone: 801-374-9625 Fax: 801-374-9690 | |
Dr. Todd B Engen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1735 N State St, Provo, UT 84604 Phone: 801-379-2900 Fax: 801-374-6295 |