JOHNATHON IVAR PEDERSEN

SANDY, UT
NPI1346056348
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  10222638-4405)
Enumeration Date2024-12-05
Last Update Date2024-12-09
Business Address
JOHNATHON IVAR PEDERSEN FNP-BC
8012 S BRYCE DR
SANDY, UT 84070-0460
Phone number: 801-916-4750
Mailing Address
JOHNATHON IVAR PEDERSEN FNP-BC
8012 S BRYCE DR
SANDY, UT 84070-0460
Phone number: 801-916-4750
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