Mr. Shaun M Petersen, PA
Mr. Shaun M Petersen, PA is a Physician Assistant in North Logan, Utah. Qualified in 2008, 18 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 18
- Licensed in
- UT
- In the registry since
- 2008
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
2310 N 400 E Ste ANorth Logan, UT 84341-1788
Phone: (435) 787-2000
Fax: (435) 787-1913
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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 7036833-1206 (UT) |
|---|
Record details
| NPI number | 1497911556 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | July 29, 2008 |
| Last updated in NPPES | October 1, 2021 |
| Certification date | October 1, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2008 (18 years in practice) |
| Group practice | Ihc Health Services Inc — 3947 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 9 on file with Medicare |
Other providers in North Logan
-
Angela Karlina Cronin, PA
1760 N 200 E Ste 101, North Logan, UT 84341-1202 · (435) 787-0560
-
Scott Macdonald, PA-C
1760 N 200 E Ste 101, North Logan, UT 84341 · (435) 787-0560
-
Mrs. Erin Bagley Oberg, PA-C
Rocky Mountain Dermatology 1760 N 200 E #101, North Logan, UT 84341 · (435) 787-0560
-
Ray Brock Olson, PA
2245 N 400 E Ste 301, North Logan, UT 84341-1892 · (435) 753-7880
-
Jeffrey J Pulley, PA-C
2310 N 400 E Ste A, North Logan, UT 84341-1788 · (435) 787-2000