NPI 1316978687

Brian R Peterson, MD

Practitioner Otology & Neurotology Physician West Jordan, UT

Practice location

Address: 3584 W 9000 S Suite 311, West Jordan, UT 84088-5710
Phone: (801) 566-8304
Fax: (801) 566-8304

Registered specialties (2)

Otology & Neurotology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YX0901X Licence 313974-1205 (UT)

Other Otolaryngology providers in Utah →

Otolaryngology Physician

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 036142390 (IL)

Registry record

NPI: 1316978687
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2006
Record last updated: 2 Nov 2020

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.