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Contact Information

ROBERT G PETERSON, MD, PC
370 NINTH AVE
STE 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, MD, PC

NPI # 1629249495
LBN Legal business name ROBERT G PETERSON, MD, PC
Authorized official ROBERT PETERSON - (PRESIDENT OF CORPORATION)
Entity Organization
Organization subpart 1 No
Enumeration date 03/19/2008
Last updated 03/19/2008 - About 18 years ago
Identifiers
UT License # 180034-1205
UT Medicaid 528801589001
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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