MICHAEL S PETERSON

SALT LAKE CITY, UT
NPI1528020955
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: ID  ODP100079)
Enumeration Date2006-04-03
Last Update Date2014-07-07
Business Address
-- MICHAEL S PETERSON O.D.
1553 E 3080 S
SALT LAKE CITY, UT 84106-3419
Phone number: 801-879-8721
Mailing Address
-- MICHAEL S PETERSON O.D.
177 W 12300 S STE 111
DRAPER, UT 84020-9816
Phone number: 801-679-9177