Jameson Ross Petersen
Rheumatology
544 S 400 E
St George
, Utah 84770-3705
Jameson Ross Petersen
Rheumatology
544 S 400 E
St George
, Utah 84770-3705
(435) 688-6200
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Jameson Ross Petersen
- 544 S 400 E
- St George, UT
- Zip : 84770-3705
- Phone : (435) 688-6200
Second Address
- Jameson Ross Petersen
- 544 S 400 E
- St George, UT
- Zip : 84770-3705
- Phone : (435) 688-6200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | 12137452-1205 | UT |
National Provider Identifier
| NPI | 1104289123 |
|---|---|
| Provider Name | Jameson Ross Petersen |
| First Address | St George, UT 84770-3705 |
| Second Address | St George, UT 84770-3705 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/03/2016 |
| Last Update Date | 18/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.