Marta J Petersen, M.D. Valid NPI

Individual provider · Dermatology Physician · Salt Lake City, UT

NPI

1972601508

Type

Individual (Type 1)

Primary specialty

Dermatology Physician (Dermatology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207N00000X

License number

1664261205 (UT)

Sex

Female

Sole proprietor

No

Enumerated

2006-09-20

Last updated

2021-11-11