Individual
DR. GARY L PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DVM
Contact information
Practice address
1220 S STATE ST, SALT LAKE CITY, UT 84111-4535
(801) 328-8543
(801) 364-1803
Mailing address
1220 S STATE ST, SALT LAKE CITY, UT 84111-4535
(801) 328-8543
(801) 364-1803
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
109676-2801
UT
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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