DR. Clark E Petersen, M.D.

NPI #1275519894 in Layton, Utah

Provider Information

NPI Number: 1275519894
Entity Type: Individual
Name: DR. Clark E Petersen, M.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Anesthesiology
Credential: M.D.
Enumeration Date: Dec 15, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1544 W ANTELOPE DR
City: Layton
State: Utah
ZIP Code: 84041-1146
Phone: (801) 773-3339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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