IndividualActive
Nathan Peterson, M.D.
NPI 1194135350 · Hematology & Oncology Physician · Provo, UT
Provider details
- NPI number
- 1194135350
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 12407595-1205 (UT)
Mailing address
Po Box 27128
Salt Lake City, UT 84127-0128
Registry dates
- Enumerated
- 2014-04-28
- Last updated
- 2024-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.