Devin Faye Petersen

NPI #1154878692 in Slc, Utah

Provider Information

NPI Number
1154878692
Entity Type
Individual
Name
Devin Faye Petersen
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Enumeration Date
Sep 1, 2016
Last Updated
Sep 1, 2016

Practice Location

Address
2995 E MIDDLETON WAY
City
Slc
State
Utah
ZIP Code
84124-3055
Phone
(801) 597-6419

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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