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1316987613
LEE M PETERSON
PROVO, UT
NPI
1316987613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: UT 1766331205)
Enumeration Date
2006-06-07
Last Update Date
2007-07-10
Business Address
-- LEE M PETERSON MD
3550 N UNIVERSITY AVE SUITE 250
PROVO, UT 84604
Phone number: 801-374-9625
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Mailing Address
-- LEE M PETERSON MD
3550 N UNIVERSITY AVE SUITE 250
PROVO, UT 84604
Phone number: 801-374-9625
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