Jason D. Petersen, MD
Facial Plastic & Reconstructive Surgery · Salt Lake City, UT
UnclaimedMDNPI 1215105804
- Primary taxonomy
- 2082S0099X
- Enumerated
- 2008-02-15
- Practice location
- Salt Lake City, UT
- Last NPPES update
- 2012-08-07
State licenses
- UT · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.