NPI 1073603676

Peter E. Jensen, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Salt Lake City, UT

Practice location

Address: 50 N Medical Dr, Salt Lake City, UT 84132-0001
Phone: (801) 581-2507
Mailing address: PO Box 581054, Salt Lake City, UT 84158-1054

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 5716463-1205 (UT)

Other Pathology providers in Utah →

Registry record

NPI: 1073603676
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Oct 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.