Leif Corbin Peterson
Leif Corbin Peterson is an Undefined Non-Physician Type (Specify) in St George, Utah. Qualified in 2021, 5 years ago. Licensed in Utah.
- Years since qualifying
- 5
- Licensed in
- UT
- In the registry since
- 2025
Practice location Address checks out
37 N Stone Mountain DrSt George, UT 84770-8010
Phone: (435) 229-8659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse's Aide (primary) | Taxonomy 376K00000X · Licence UT012780601432 (UT) |
|---|
Record details
| NPI number | 1750176806 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 10, 2025 |
| Last updated in NPPES | April 12, 2025 |
| Certification date | April 12, 2025 |
Medicare enrollment
| Medicare specialty | UNDEFINED NON-PHYSICIAN TYPE (SPECIFY) |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Accepts Medicare assignment | Not indicated |