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

Jonas Legrand Peterson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114376431

Jonas Legrand Peterson, MD is a Family Practice in Ogden, Utah. Qualified in 2016, 10 years ago. Practices with Weber Human Services, a 42-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
10
Licensed in
UT
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4403 Harrison Blvd Ste A-700
Ogden, UT 84403-3271
Phone: (801) 387-5300
Fax: (801) 387-5333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 104427351205 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114376431
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2016
Last updated in NPPESMay 6, 2019
Mailing address4403 Harrison Blvd, Suite A-700, Ogden, UT 84403-3271

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Weber Human Services — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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