Whalio Doctors

NPI 1013008077

Matthew L Peterson, MD

Practitioner Anesthesiology Physician Salt Lake City, UT

Practice location

Address
1200 E 3900 S, Salt Lake City, UT 84124-1300
Phone
(801) 993-9530
Fax
(801) 733-5618
Mailing address
1954 Fort Union Blvd, Salt Lake City, UT 84121-6800

Registered specialties

Anesthesiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 4985237-1205 (UT)

Registry record

NPI
1013008077
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 Sep 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.