Organization
UTAH BONE & JOINT CENTER LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN PETERSEN (OFFICE MANAGER)
(801) 713-0606
Entity
Organization
Contact information
Practice address
5323 S. WOODROW ST, STE 202, SALT LAKE CITY, UT 84107
(801) 713-0606
(801) 713-0609
Mailing address
5323 S. WOODROW ST, STE 202, SALT LAKE CITY, UT 84107
(801) 713-0606
(801) 713-0609
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
08/12/2008
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