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1164604765
CAMERON GLADE PETERSON
LOGAN, UT
NPI
1164604765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: UT 357812-1205)
Enumeration Date
2007-12-05
Last Update Date
2018-02-02
Business Address
Dr. CAMERON GLADE PETERSON M.D.
1300 N 500 E
LOGAN, UT 84341-2408
Phone number: 435-716-2800
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Mailing Address
Dr. CAMERON GLADE PETERSON M.D.
PO BOX 239
RUPERT, ID 83350-0239
Phone number:
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