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1164532073
DENNIS R PETERSON
BOUNTIFUL, UT
NPI
1164532073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 158238-1205)
Enumeration Date
2006-08-30
Last Update Date
2013-06-06
Business Address
-- DENNIS R PETERSON M.D.P.C.
415 MEDICAL DR SUITE B200
BOUNTIFUL, UT 84010-4946
Phone number: 801-292-7254
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Mailing Address
-- DENNIS R PETERSON M.D.P.C.
PO BOX 307
BOUNTIFUL, UT 84011-0307
Phone number: 801-294-6907
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