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NPI Profile for CHASE B PETERSEN in LOGAN, UT.
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Obstetrics & Gynecology |
207V00000X | 16 | Physician/Obstetrics & Gynecology | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI # | 1407144702 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 07/20/2011 | |
| Last updated | 05/20/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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CHASE B PETERSEN
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CHASE B PETERSEN, MD