Individual provider · Type 1 NPI
Jason Dayne Petersen, MD
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician · Salt Lake City, UT
Practice location
5353 S 960 E, #150
Salt Lake City, UT 84117-3569
Fax (801) 747-7740
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic Surgery Physician | 208200000X | 83185641205 (UT) |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Primary | 2082S0099X | 83185641205 (UT) |
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician: A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery i…
6 other providers at this address
- J. Dayne Petersen M.d., PCMedical Specialty Clinic/Center Salt Lake City, UT NPI 1346597507
- Monica D Christy PHD PCClinical Psychologist Murray, UT NPI 1154465813
- Eric McKeon, PharmDPharmacist Salt Lake City, UT NPI 1053693705
- Jessica Blanchard, PharmDPharmacist Salt Lake City, UT NPI 1689957763
- Kyungsun Jeong Kim, PHARM DPharmacist Salt Lake City, UT NPI 1619245529
- Matthew V. Davies, PhDForensic Psychologist Murray, UT NPI 1053409342
About NPI 1215105804
Jason Dayne Petersen, MD's National Provider Identifier is 1215105804, issued on Feb 15, 2008. The primary taxonomy on file is Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician (2082S0099X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 7, 2012.