J. DAYNE PETERSEN M.D., PC
Ambulatory Health at 960, Salt Lake City, UT

License number
Utah 83185641205
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. JASON DAYNE PETERSEN M.D.
Title: PRESIDENT
Phone: (801) 971-8684
Address
Address
5353 S 960 E #150, Salt Lake City, UT 84117
National Provider ID: 1346597507
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about J. DAYNE PETERSEN M.D., PC at bizstanding.com

J. DAYNE PETERSEN M.D., PC

5353 S 960 E #150, Salt Lake City, UT 84117

Registration:
May 10, 2012
State ID:
8323041-0144
Business type:
Corporation - Professional
Agent:
Rsa Registered Agent Corp,2500 N University Ave STE 100, Provo, UT 84604 (Physical)

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