Brian R Peterson in West Jordan - Otology & Neurotology
Brian R Peterson - NPI 1316978687
Brian R Peterson is a Otology & Neurotology in West Jordan, Utah. Brian R Peterson practices all healthcare services and medical treatments related to Otology & Neurotology. The NPI Number for Brian R Peterson is 1316978687. The last update date is 2020-11-02.
Brian R Peterson's current location address is 3584 W 9000 S, West Jordan, Utah. You can contact this provider via phone number 8015668304 and fax number 8015668304. The mailing address for Brian R Peterson is 3584 W 9000 S, West Jordan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian R Peterson |
|---|---|
| Address | 3584 W 9000 S, West Jordan, Utah |
| Phone Number | 8015668304 |
| Fax Number | 8015668304 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1316978687 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2020-11-02 |
Provider Mailing Address Detail
| Address | 3584 W 9000 S |
|---|---|
| City | West Jordan |
| State | Utah (UT) |
| Post Code | 840885710 |
| Phone Number | 8015668304 |
| Fax Number | 8015668304 |
Provider's Primary Taxonomy Detail
| Speciality | Otology & Neurotology |
|---|---|
| Taxonomy | 207Yx0901X |
| Licence No | 313974-1205 |
|
Definition: An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiolog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 214881 | IL | MEDICARE GROUP PTAN |
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What is the unique identification code assigned to Brian R Peterson by the Centers for Medicare & Medicaid Services?
The Brian R Peterson has been issued the NPI (National Provider Identifier) 1316978687. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Brian R Peterson's physical address?
The Brian R Peterson is physically located at 3584 W 9000 S, in the city of West Jordan, UT, with the postal code 840885710.
What is Brian R Peterson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Brian R Peterson is Otology & Neurotology, and the corresponding taxonomy classification code for this specialized field is 207Yx0901X.
When was the Brian R Peterson's 1316978687 issued?
The Brian R Peterson's 1316978687 was issued on 2006-07-05.
As of what date were the Brian R Peterson's details last updated?
The information pertaining to the Brian R Peterson, including its address, specialty, and other details, was most recently updated on 2020-11-02.