SHANE L PETERSEN

MURRAY, UT
NPI1770593246
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: UT  2434068-1205)
Enumeration Date2006-08-08
Last Update Date2012-10-15
Business Address
-- SHANE L PETERSEN MD
5121 S COTTONWOOD STREET INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Phone number: 801-507-5248
Mailing Address
-- SHANE L PETERSEN MD
3340 NORTH CENTER ST #800
LEHI, UT 84043-7406
Phone number: 801-990-1911
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