Jason Trent Peterson, OD

NPI #1760837066 in Eagle Mountain, Utah

Provider Information

NPI Number
1760837066
Entity Type
Individual
Name
Jason Trent Peterson, OD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Apr 25, 2016
Last Updated
Jun 28, 2021

Practice Location

Address
4408 E PONY EXPRESS PKWY STE A
State
Utah
ZIP Code
84005-5564
Phone
(801) 789-3937

Specialties & Taxonomy Codes

Specialty
Optometrist

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