Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Colby B Petersen

Individual provider Physician Assistant · NPI 1740229913

Colby B Petersen is a Physician Assistant in St George, Utah. Qualified in 1999, 27 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
27
Licensed in
UT
In the registry since
2006
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Practice location Address checks out

1380 E Medical Center Dr Ste # 4100
St George, UT 84790-2156
Phone: (435) 251-2900
Fax: (435) 251-2901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 370382-1206 (UT)

Record details

NPI number1740229913
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESNovember 27, 2023
Certification dateMarch 17, 2020
Mailing address1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in St George