IndividualActive
Aaron Peterson, PA-C
NPI 1861040230 · Physician Assistant · Provo, UT
Provider details
- NPI number
- 1861040230
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 13396163-1206 (UT)
Mailing address
Po Box 27128
Salt Lake City, UT 84127-0128
Registry dates
- Enumerated
- 2019-08-29
- Last updated
- 2025-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.