Individual provider · Type 1 NPI
Gary L. Peterson, DVM
Veterinarian · Salt Lake City, UT
NPI number
1417299074
Active
Practice location
1220 S State St
Salt Lake City, UT 84111-4535
Fax (801) 364-1803
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Veterinarian Primary | 174M00000X | 109676-2801 (UT) |
Veterinarian: A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery.
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About NPI 1417299074
Gary L. Peterson, DVM's National Provider Identifier is 1417299074, issued on Mar 21, 2013. The primary taxonomy on file is Veterinarian (174M00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Mar 21, 2013.