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1164539987
WALLACE CURTIS PETERSON
SALT LAKE CITY, UT
NPI
1164539987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: UT 168281-1205)
Enumeration Date
2006-08-25
Last Update Date
2007-07-08
Business Address
-- WALLACE CURTIS PETERSON MD
100 N MEDICAL DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-993-9551
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Mailing Address
-- WALLACE CURTIS PETERSON MD
1954 FORT UNION BLVD #111
SALT LAKE CITY, UT 84121-6800
Phone number: 801-993-9551
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