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Mark Peterson, DO
NPI 1497067136 · on the registry since 2010 · sole proprietor
Practice
- Address
- 7321 Balmer St Bldg 570
Hill Afb, UT 84056 - Phone
- (801) 777-5285
- Clinicians at this address
- 77
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-05-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah