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NPI Code Detail

MEDICARE: ARRIN CAMPBELL PETERSON

MEDICARE: ARRIN CAMPBELL PETERSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1225339500
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARRIN CAMPBELL PETERSON
Provider Business Mailing Address
First Line : 68 N 180 W
Second Line :
City : EPHRAIM
State : UT
Zip : 84627-2130
Country : US
Telephone Number : 435-283-9932
Fax Number : 435-283-9935
Provider Business Practice Location Address
First Line : 68 N 180 W
Second Line :
City : EPHRAIM
State : UT
Zip : 84627-2130
Country : US
Telephone Number : 435-283-9932
Fax Number : 435-283-9935
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2010
Last Update Date : 11/03/2010

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Directions to “ ARRIN CAMPBELL PETERSON ” Practice Location

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