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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