Individual
DR. CAMERON GLADE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 N 500 E, LOGAN, UT 84341-2408
(435) 716-2800
Mailing address
PO BOX 239, RUPERT, ID 83350-0239
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
357812-1205
UT
Other
Enumeration date
12/05/2007
Last updated
02/02/2018
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