Marcus L Peterson in St George - Specialist
Marcus L Peterson - NPI 1518918713
Marcus L Peterson is a Specialist in St George, Utah. Marcus L Peterson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Marcus L Peterson is 1518918713. The last update date is 2012-09-17.
Marcus L Peterson's current location address is 676 S Bluff St, St George, Utah. You can contact this provider via phone number 4356282895 and fax number 4356285943. The mailing address for Marcus L Peterson is 676 S Bluff St, St George, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marcus L Peterson |
|---|---|
| Address | 676 S Bluff St, St George, Utah |
| Phone Number | 4356282895 |
| Fax Number | 4356285943 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1518918713 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2012-09-17 |
Provider Mailing Address Detail
| Address | 676 S Bluff St |
|---|---|
| City | St George |
| State | Utah (UT) |
| Post Code | 847703568 |
| Phone Number | 4356282895 |
| Fax Number | 4356285943 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 183446-1205 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201302847 | UT | OTHER ID | |
| 19344612000001 | UT | REGENCE | |
| 107029664101 | UT | IHC | |
| 201302841793981 | UT | US HEALTH | |
| 2085401 | NV | BCBS NV | |
| 902568 | UT | DMBA | |
| 201302841 | UT | CURRENT TAX ID | |
| 870436699 | UT | OLD TAX ID | |
| 107007770102 | UT | IHC |
Post Comment/ Review Below
What is the unique identifier code issued to Marcus L Peterson by the Centers for Medicare & Medicaid Services (CMS)?
The Marcus L Peterson has been assigned the NPI (National Provider Identifier) 1518918713. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Marcus L Peterson is physically located?
The Marcus L Peterson is situated at the following address: 676 S Bluff St, St George, UT 847703568.
What is the Marcus L Peterson's area of specialization and corresponding taxonomy classification?
The Marcus L Peterson's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did Marcus L Peterson receive its 1518918713 assignment from the Centers for Medicare & Medicaid Services?
The Marcus L Peterson was assigned its 1518918713 on 2006-05-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Marcus L Peterson's information last updated?
The Marcus L Peterson's information was last updated on 2012-09-17.