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Rodney C Petersen, MD
Diagnostic Radiology Physician in Provo, Utah
NPI 1548216765

Rodney C Petersen is a Diagnostic Radiology Physician based in Orem, UT and is specialized in Diagnostic Radiology. Rodney C Petersen practices in Provo, UT and has the professional credentials of MD. The NPI Number for Rodney C Petersen is 1548216765 and holds a License No. 158619-1205 (Utah).

The current practice location address for Rodney C Petersen is 1034 N 500 W, Provo, UT and can be reached out via phone at 801-373-7850.

Location: 1034 N 500 W, Provo, UT, 84058-5001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548216765
Provider Name
Rodney C Petersen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1034 N 500 W, Provo, UT, 84058-5001
Phone Number
801-373-7850
Fax Number
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
228465 01 UT DMBA
870284448PE1 01 UT EMIA
107006210103 01 UT IHC
institution
Provider Business Practice Location Address Details
Address
1034 N 500 W
City
Provo
State
Utah
Zip
84604-3380
Phone Number
801-373-7850
Fax Number
person
Provider Business Mailing Address Details
Address
1034 N 500 W
City
Provo
State
Utah
Zip
84604-3380
Phone Number
801-373-7850
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
158619-1205 (Utah)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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