J. DAYNE PETERSEN M.D., PC is a medical specialty clinic center in Salt Lake City, UT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). J. DAYNE PETERSEN M.D., PC NPI is 1346597507. The provider is registered as an organization entity type.
The provider Is Doing Business As Nuvista Plastic Surgery.
The provider's business location address is:
5353 S 960 E
#150
SALT LAKE CITY, UT
ZIP 84117-569
Phone: (801) 261-5791
Fax: (801) 747-7740
The provider's authorized official is Jason Dayne Petersen .
The authorized official title is President and has the following contact phone number (801) 971-8684.
The CLIA number assigned to this NPI record is 46D2056118 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/7/2012 and was last updated on 8/30/2012.