Peterson, Walter
Peterson, Walter is an individual health care provider with primary practice located at 250 Red Cliffs Dr , St George UT 84790-8167. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Peterson, Walter can be contacted via phone (435) 674-2020.Contact Information
Primary practice address
250 Red Cliffs Dr
St George UT 84790-8167
Phone: (435) 674-2020
Fax: (435) 674-3470
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 1093699934 | Utah |
Profile Details
NPI number | 1851480081 |
---|---|
LBN Legal business name | Peterson, Walter |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 12th, 2006 |
Last updated | Jul 26th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851480081 | NPPES |
Utah | MEDICAID | 999000797009 | |
Utah | Other | 87017934025001 |
Popular Providers
-
Hammons, Trevor Glen
803 S Bluff St , St George UT 84770-5202 -
Leigh, James Michael
54 E 300 S Apt. 8, St George UT 84770-3666 -
Hauck, Jason William
1791 E 280 N , St George UT 84790-2400 -
Lister, Jedediah Beal
15 S River Rd Ste 150 , St George UT 84790-2106 -
Robison, Ryan Earl
965 E 700 S Suite #100, St George UT 84790-4082 -
Ames, Derek Busenbark
2610 Pioneer Rd , St George UT 84790-7442 -
Lofgran, Adam Jeffrey
749 S River Rd , St George UT 84790 -
Albrecht, Kent S
10 Diagonal St Suite 101, St George UT 84770-2878