Peterson, Mark R

Peterson, Mark R is an sole proprietor health care provider with primary practice located at 7321 Balmer St Bldg 570 , Hill Afb UT 84056-5012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Peterson, Mark R can be contacted via phone (801) 777-5285.

Contact Information

Primary practice address
7321 Balmer St Bldg 570 Hill Afb UT 84056-5012
Phone: (801) 777-5285
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0102203109 Virginia

Profile Details

NPI number 1497067136
LBN Legal business name Peterson, Mark R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2010
Last updated May 1st, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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