Peterson, Travis A

Peterson, Travis A is an individual health care provider with primary practice located at 61 W 13490 S Ste 100 , Draper UT 84020-7299. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Peterson, Travis A can be contacted via phone (801) 997-5770.

Contact Information

Primary practice address
61 W 13490 S Ste 100 Draper UT 84020-7299
Phone: (801) 997-5770
Fax: (385) 446-6278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X OP60232831 Washington
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X OP60232831 Washington
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 10858427-1204 Utah

Profile Details

NPI number 1033326020
LBN Legal business name Peterson, Travis A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Oct 5th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033326020 NPPES
Utah Other 10858427-1204 LICENSE

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