Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHAUN M PETERSEN, PA
ActiveMR. SHAUN M PETERSEN, PA is a Physician Assistant healthcare provider located in NORTH LOGAN, Utah. NPI 1497911556 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · NORTH LOGAN, UT
Registration Details
- NPI Number
- 1497911556
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 29, 2008 (18.017943731537 yrs)
- Last Updated
- Oct 1, 2021
- License
-
7036833-1206 (UT)
Practice Information
- Address
-
2310 N 400 ESTE ANORTH LOGAN, UT, 843411788Browse UT providers · Browse ZIP 84341
- Phone
- 4357872000
- Fax
- 4357871913
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in NORTH LOGAN, UT
| Name | Credential | NPI |
|---|---|---|
| ANGELA KARLINA CRONIN | PA | 1639347685 |
| JEFFREY CALL BAUGH | PA-C | 1821323403 |
| JEFFREY J PULLEY | PA-C | 1912233305 |
| MRS. ERIN BAGLEY OBERG | PA-C | 1124309711 |
| SCOTT MACDONALD | PA-C | 1720482086 |
| RAY BROCK OLSON | PA | 1033776562 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.