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1184121675
MICHAEL PETERSON
SALT LAKE CITY, UT
NPI
1184121675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: UT 11421570-1205)
Enumeration Date
2018-04-10
Last Update Date
2023-06-14
Business Address
Dr. MICHAEL PETERSON MD
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132-2140
Phone number: 801-581-2868
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Mailing Address
Dr. MICHAEL PETERSON MD
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132-2140
Phone number: 801-581-2868
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