J. Dayne Petersen MD, PC
J. Dayne Petersen MD, PC is a Medical Specialty Clinic/Center in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2012.
- Licensed in
- UT
- In the registry since
- 2012
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5353 S 960 E #150Salt Lake City, UT 84117-3569
Phone: (801) 261-5791
Fax: (801) 747-7740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence 83185641205 (UT) |
|---|
Record details
| NPI number | 1346597507 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jason Petersen — President · (801) 971-8684 |
| Other names | Nuvista Plastic Surgery |
| NPI enumerated | August 7, 2012 |
| Last updated in NPPES | August 30, 2012 |
| Mailing address | 5353 S 960 E, 150, Salt Lake City, UT 84117-3569 |
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