DR. Mark R Peterson, DO

NPI #1497067136 in Hill Afb, Utah

Provider Information

NPI Number: 1497067136
Entity Type: Individual
Name: DR. Mark R Peterson, DO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: DO
Enumeration Date: Jul 10, 2010
Last Updated: May 1, 2018

Practice Location

Address: 7321 BALMER ST BLDG 570
City: Hill Afb
State: Utah
ZIP Code: 84056-5012
Phone: (801) 777-5285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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