Individual
MR. DAVID PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1648 N VENETIAN WAY, SARATOGA SPRINGS, UT 84045-3150
(801) 440-5839
Mailing address
1648 N VENETIAN WAY, SARATOGA SPRINGS, UT 84045-3150
(801) 440-5839
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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