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1497067136
MARK R PETERSON
HILL AFB, UT
NPI
1497067136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: VA 0102203109)
Enumeration Date
2010-07-10
Last Update Date
2018-05-01
Business Address
Dr. MARK R PETERSON DO
7321 BALMER ST BLDG 570
HILL AFB, UT 84056-5012
Phone number: 801-777-5285
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Mailing Address
Dr. MARK R PETERSON DO
7321 BALMER ST BLDG 570
HILL AFB, UT 84056-5012
Phone number: 801-777-5285
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