| Dr Jason Dayne Petersen, MD | |
|
5353 S 960 E, #150, Salt Lake City, UT 84117-3569 | |
| (801) 261-5791 | |
| (801) 747-7740 |
| Full Name | Dr Jason Dayne Petersen |
|---|---|
| Gender | Male |
| Speciality | Plastic Surgery - Plastic Surgery Within The Head And Neck |
| Location | 5353 S 960 E, Salt Lake City, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215105804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 83185641205 (Utah) | Secondary |
| 2082S0099X | Plastic Surgery - Plastic Surgery Within The Head And Neck | 83185641205 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason Dayne Petersen, MD 5353 S 960 E, #150, Salt Lake City, UT 84117-3569 Ph: (801) 971-8684 | Dr Jason Dayne Petersen, MD 5353 S 960 E, #150, Salt Lake City, UT 84117-3569 Ph: (801) 261-5791 |
Dr. Grant Andreas Fairbanks, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1151 East 3900 South, Suite #b110, Salt Lake City, UT 84124 Phone: 801-268-8838 Fax: 801-268-8264 | |
Brittany M. Foley, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 30 N Mario Capecchi Dr Rm, Salt Lake City, UT 84112 Phone: 801-581-2121 | |
Dr. David Snow Thomas, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 370 9th Ave, 200, Salt Lake City, UT 84103 Phone: 801-355-0731 Fax: 801-322-1099 | |
Paul Winograd, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 30 N Mario Capecchi Dr Rm 4s100, 5th Floor, Salt Lake City, UT 84112 Phone: 801-581-2121 | |
Dr. Cori Ann Agarwal, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: Division Of Plastic Surgery Administrative Office, 30 North 1900 East 3b205, Salt Lake City, UT 84132 Phone: 801-585-6839 Fax: 801-581-5794 | |
Robert Marcus Teixeira, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 30 N 1900 E # 3b400, Salt Lake City, UT 84132 Phone: 801-581-7719 Fax: 801-581-5794 |