NPI 1417299074

Gary L Peterson, DVM

Practitioner Veterinarian Salt Lake City, UT

Practice location

Address: 1220 S State St, Salt Lake City, UT 84111-4535
Phone: (801) 328-8543
Fax: (801) 364-1803

Registered specialties

Veterinarian Primary

Other Service Providers Taxonomy 174M00000X Licence 109676-2801 (UT)

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Registry record

NPI: 1417299074
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Mar 2013
Record last updated: 21 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.