Individual
DARLENE L PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5640 S 3500 W, ROY, UT 84067-9158
(801) 773-2838
(801) 773-3025
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
292621-1205
UT
Other
Enumeration date
05/29/2007
Last updated
11/15/2023
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