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Contact Information

ROBERT G PETERSON, MD
370 NINTH AVE
SUITE 111
SALT LAKE CITY, UT84103-2877
 Phone: 801-408-2233
 Fax: 801-408-2870
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ROBERT G PETERSON · (Male)

NPI # 1497715163
Status Active
Credentials MD
Entity Individual
Enumeration date 03/25/2006
Last updated 09/02/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 1800341205
  • UT Other 20110 DESERET MUTUAL (DMBA)
  • UT Other 870639983PE2 EDUCATORS MUTUAL (EMIA)
  • UT Other 107004866104 INTERMOUNTAIN HEALTHCARE
  • UT Other 18541 PUBLIC EMPLOYEES (PEHP)
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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