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1275519894
CLARK E PETERSEN
LAYTON, UT
NPI
1275519894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: UT 3609501205)
Enumeration Date
2005-12-15
Last Update Date
2007-07-08
Business Address
Dr. CLARK E PETERSEN M.D.
1544 W ANTELOPE DR
LAYTON, UT 84041-1146
Phone number: 801-773-3339
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Mailing Address
Dr. CLARK E PETERSEN M.D.
2551 LEWIS PARK DR
BOUNTIFUL, UT 84010-5762
Phone number: 801-299-1215
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