J. Dayne Petersen M.d., Pc - Salt Lake City, UT

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.

Location: 5353 S 960 E, Salt Lake City, UT, 84117-3569

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

Address

5353 S 960 E

City

Salt Lake City

State

Utah

Zip

84117-3569

Phone Number

801-261-5791

Fax Number

801-747-7740

Address

5353 S 960 E

City

Salt Lake City

State

Utah

Zip

84117-3569

Phone Number

801-261-5791

Fax Number

801-747-7740

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Medical Specialty

Taxonomy

261QM2500X

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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