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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

J. DAYNE PETERSEN M.D., PC

Active Organization

Medical Specialty Clinic · SALT LAKE CITY, UT

Registration Details

NPI Number
1346597507
Provider Type
Organization
NPI Issued
Aug 7, 2012 (13.709935387909 yrs)
Last Updated
Aug 30, 2012
License
83185641205 (UT)

Practice Information

Address
5353 S 960 E
#150
SALT LAKE CITY, UT, 841173569
Browse UT providers · Browse ZIP 84117
Phone
8012615791
Fax
8017477740
Primary Specialty
Medical Specialty Clinic
261QM2500X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.