Individual
JUSTIN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BUDGE GENERAL SURGERY, 1350 N 500 E, LOGAN, UT 84341-0001
(435) 716-1950
(435) 716-1950
Mailing address
KY CLINIC GENERAL SURGERY, 740 S LIMESTONE, LEXINGTON, KY 40536-0001
(859) 218-2568
(859) 257-7603
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10933355-1205
UT
208600000X
Surgery Physician
IP1433
KY
Other
Enumeration date
06/19/2013
Last updated
04/24/2024
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