Individual
DR. CLARK E PETERSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1544 W ANTELOPE DR, LAYTON, UT 84041-1146
(801) 773-3339
(801) 773-6727
Mailing address
2551 LEWIS PARK DR, BOUNTIFUL, UT 84010-5762
(801) 299-1215
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
3609501205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87057151003
—
UT
Enumeration date
12/15/2005
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us