DR. JASON PETERSEN, MD
Plastic Surgery - Plastic Surgery Within the Head and Neck
Active
Individual
NPI: 1215105804
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Plastic Surgery | 208200000X | No | 83185641205 (UT) |
| Plastic Surgery - Plastic Surgery Within the Head and Neck | 2082S0099X | Yes | 83185641205 (UT) |
Frequently Asked Questions
NPI 1215105804 is the National Provider Identifier for DR. JASON PETERSEN, MD, a Plastic Surgery - Plastic Surgery Within the Head and Neck provider located in Salt Lake City, UT. This NPI was enumerated on February 15, 2008.
DR. JASON PETERSEN, MD practices at 5353 S 960 E, #150, Salt Lake City, UT 84117.
Quick Facts
- NPI
- 1215105804
- Type
- Individual
- Enumerated
- Feb 15, 2008
- Last Updated
- Aug 7, 2012
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