SHAUN M PETERSEN

NORTH LOGAN, UT
NPI1497911556
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  7036833-1206)
Enumeration Date2008-07-29
Last Update Date2021-10-01
Business Address
Mr. SHAUN M PETERSEN PA
2310 N 400 E STE A
NORTH LOGAN, UT 84341-1788
Phone number: 435-787-2000
Mailing Address
Mr. SHAUN M PETERSEN PA
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 435-890-9466
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