Individual provider · Type 1 NPI

Colby B. Petersen

Physician Assistant · St. George, UT

NPI number 1740229913 Active

Practice location

1380 E Medical Center Dr, Ste # 4100
St. George, UT 84790-2156

Fax (435) 251-2901

Mailing address

1055 N 500 W, Attn: Credentialing
Provo, UT 84604-3305

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X370382-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1740229913

Colby B. Petersen's National Provider Identifier is 1740229913, issued on Jun 5, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. George, UT. The record was last updated on Nov 27, 2023.