institution
J. Dayne Petersen M.d., Pc
Medical Specialty Clinic/Center in Salt Lake City, Utah
NPI 1346597507

J. Dayne Petersen M.d., Pc is a Medical Specialty Clinic/Center based in Salt Lake City, UT and is specialized in Medical Specialty. J. Dayne Petersen M.d., Pc practices in Salt Lake City, UT. The NPI Number for J. Dayne Petersen M.d., Pc is 1346597507 and holds a License No. 83185641205 (Utah).

The current practice location address for J. Dayne Petersen M.d., Pc is 5353 S 960 E, Salt Lake City, UT and can be reached out via phone at 801-261-5791 and via fax at 801-747-7740. You can also correspond with J. Dayne Petersen M.d., Pc through the mailing address at 5353 S 960 E, SALT LAKE CITY, UT - 84117-3569 (mailing address contact number: 801-261-5791).

Location: 5353 S 960 E, Salt Lake City, UT, 84117-3569
institution
Provider Profile Details
NPI Number
1346597507
Provider Name
J. Dayne Petersen M.d., Pc
Credential
Provider Entity Type
Organization
Address
5353 S 960 E, Salt Lake City, UT, 84117-3569
Phone Number
801-261-5791
Fax Number
801-747-7740
Provider Enumeration Date
08/07/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5353 S 960 E
City
State
Zip
84117-3569
Phone Number
801-261-5791
Fax Number
801-747-7740
person
Provider Business Mailing Address Details
Address
5353 S 960 E
City
State
Zip
84117-3569
Phone Number
801-261-5791
Fax Number
801-747-7740
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
83185641205 (Utah)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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