CHASE B PETERSEN

LOGAN, UT
NPI1407144702
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: IL  036.178096)
Enumeration Date2011-07-20
Last Update Date2026-06-19
Business Address
CHASE B PETERSEN M.D.
1400 N 500 E
LOGAN, UT 84341
Phone number: 435-716-1920
Mailing Address
CHASE B PETERSEN M.D.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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