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Individual

JEFFREY STEVEN PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3741 W 12600 S, RIVERTON, UT 84065-7215
(801) 285-4000
Mailing address
3340 N CENTER ST, LEHI, UT 84043-7406
(801) 990-1911

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13317776-1205
UT
207L00000X
Anesthesiology Physician
R-11541
IA

Other

Enumeration date
05/29/2019
Last updated
06/07/2023
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