Individual
DAVID M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
421 WAKARA WAY, SUITE 204, SALT LAKE CITY, UT 84108-1244
(801) 585-5998
Mailing address
421 WAKARA WAY, SUITE 204, SALT LAKE CITY, UT 84108-1244
(801) 585-5998
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
353870-1701
UT
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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