Jason Dayne Petersen in Salt Lake City - Plastic Surgery
Jason Dayne Petersen - NPI 1215105804
Jason Dayne Petersen is a Plastic Surgery in Salt Lake City, Utah. Jason Dayne Petersen practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Jason Dayne Petersen is 1215105804. The last update date is 2012-08-07.
Jason Dayne Petersen's current location address is 5353 S 960 E, Salt Lake City, Utah. You can contact this provider via phone number 8019718684. The mailing address for Jason Dayne Petersen is 5353 S 960 E, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Dayne Petersen |
|---|---|
| Address | 5353 S 960 E, Salt Lake City, Utah |
| Phone Number | 8019718684 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1215105804 |
|---|---|
| Provider Enumeration Date | 2008-02-15 |
| Last Updated Date | 2012-08-07 |
Provider Mailing Address Detail
| Address | 5353 S 960 E |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841173569 |
| Phone Number | 8019718684 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | 83185641205 |
|
Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
|
Post Comment/ Review Below
What is the Jason Dayne Petersen's unique identification number?
The Jason Dayne Petersen has been assigned the NPI (National Provider Identifier) Number 1215105804 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Jason Dayne Petersen is physically located?
The Jason Dayne Petersen is physically situated at the following address: 5353 S 960 E, Salt Lake City, UT, 841173569.
What is Jason Dayne Petersen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jason Dayne Petersen is Plastic Surgery, and the taxonomy classification code that categorizes this area of expertise is 208200000X.
On what date did Jason Dayne Petersen receive its 1215105804 assignment from the Centers for Medicare & Medicaid Services?
The Jason Dayne Petersen was assigned its 1215105804 on 2008-02-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Jason Dayne Petersen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jason Dayne Petersen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-08-07.