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1427008812
SCOTT DAVID PETERSON
OREM, UT
NPI
1427008812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 276535-1205)
Enumeration Date
2006-05-10
Last Update Date
2023-11-27
Business Address
Dr. SCOTT DAVID PETERSON M.D.
575 S STATE ST
OREM, UT 84058-6303
Phone number: 801-225-2926
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Mailing Address
Dr. SCOTT DAVID PETERSON M.D.
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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