Organization · Type 2 NPI

J. Dayne Petersen M.d., PC

Medical Specialty Clinic/Center · Salt Lake City, UT

NPI number 1346597507 Active

Practice location

5353 S 960 E, #150
Salt Lake City, UT 84117-3569

Call (801) 261-5791 Map

Fax (801) 747-7740

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X83185641205 (UT)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

6 other providers at this address

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About NPI 1346597507

J. Dayne Petersen M.d., PC's National Provider Identifier is 1346597507, issued on Aug 7, 2012. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 30, 2012.