MARK R PETERSON

HILL AFB, UT
NPI1497067136
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: VA  0102203109)
Enumeration Date2010-07-10
Last Update Date2018-05-01
Business Address
Dr. MARK R PETERSON DO
7321 BALMER ST BLDG 570
HILL AFB, UT 84056-5012
Phone number: 801-777-5285
Mailing Address
Dr. MARK R PETERSON DO
7321 BALMER ST BLDG 570
HILL AFB, UT 84056-5012
Phone number: 801-777-5285