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Organization
UTAH HEAD AND NECK SURGERY
Active
Organization
UTAH HEAD AND NECK SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY JOHN PETERSON DO (PHYSICIAN)
(435) 637-4327
Entity
Organization
Contact information
Practice address
945 W HOSPITAL DR STE 1, PRICE, UT 84501-4230
(435) 637-4327
(435) 613-9709
Mailing address
945 W HOSPITAL DR STE 1, PRICE, UT 84501-4230
(435) 637-4327
(435) 613-9709
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
O-0522
UT
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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