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1972615474
RUSSELL S PETERSEN
MURRAY, UT
NPI
1972615474
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: UT 91-184977-1205)
Enumeration Date
2006-08-31
Last Update Date
2012-10-15
Business Address
-- RUSSELL S PETERSEN MD
5121 S COTTONWOOD STREET INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Phone number: 801-507-5248
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Mailing Address
-- RUSSELL S PETERSEN MD
3340 NORTH CENTER ST #800
LEHI, UT 84043-7406
Phone number: 801-990-1911
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