Brian R Peterson Md Pc in West Jordan - Specialist
Brian R Peterson Md Pc - NPI 1669662532
Brian R Peterson Md Pc is a Specialist in West Jordan, Utah. Brian R Peterson Md Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Brian R Peterson Md Pc is 1669662532. The last update date is 2007-07-27.
Brian R Peterson Md Pc's current location address is 3584 W 9000 S, West Jordan, Utah. You can contact this provider via phone number 8015668304 and fax number 8015668330. The mailing address for Brian R Peterson Md Pc is 3584 W 9000 S, West Jordan, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Brian R Peterson Md Pc |
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Address | 3584 W 9000 S, West Jordan, Utah |
Phone Number | 8015668304 |
Fax Number | 8015668330 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | SOLE PROPR |
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Authorized Official Name | Peterson R Brian |
Credentials | MD |
Telephone Number | 8015668304 |
NPI Number Detail
NPI Number | 1669662532 |
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Provider Enumeration Date | 2007-07-27 |
Last Updated Date | 2007-07-27 |
Provider Mailing Address Detail
Address | 3584 W 9000 S |
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City | West Jordan |
State | Utah (UT) |
Post Code | 840884775 |
Phone Number | 8015668304 |
Fax Number | 8015668330 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
---|---|
Taxonomy | 174400000X |
Licence No | 3139741205 |
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. |
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What is the unique identifier code issued to Brian R Peterson Md Pc by the Centers for Medicare & Medicaid Services?
The Brian R Peterson Md Pc has been assigned the NPI (National Provider Identifier) 1669662532. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Brian R Peterson Md Pc's physical address?
The Brian R Peterson Md Pc is physically located at 3584 W 9000 S, in the city of West Jordan, UT, with the postal code 840884775.
What is the Brian R Peterson Md Pc's area of specialization and corresponding taxonomy classification?
The Brian R Peterson Md Pc's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
When was the Brian R Peterson Md Pc's 1669662532 issued?
The Brian R Peterson Md Pc's 1669662532 was issued on 2007-07-27.
As of what date were the Brian R Peterson Md Pc's details last updated?
The information pertaining to the Brian R Peterson Md Pc, including its address, specialty, and other details, was most recently updated on 2007-07-27.
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