Individual provider · Type 1 NPI

Devin Faye Petersen

Medical Physician Assistant · Slc, UT

NPI number 1154878692 Active

Practice location

2995 E Middleton Way
Slc, UT 84124-3055

Call (801) 597-6419 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XIN PROCESS (UT)

Medical Physician Assistant: Definition to come...

Other medical physician assistant providers in Slc

See all in Slc →

About NPI 1154878692

Devin Faye Petersen's National Provider Identifier is 1154878692, issued on Sep 1, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Slc, UT. The record was last updated on Sep 1, 2016.