Wasatch Medical Center

NPI #1053360917 in Orem, Utah

Provider Information

NPI Number: 1053360917
Entity Type: Organization
Organization Name: Wasatch Medical Center
Primary Specialty: Family Medicine
Enumeration Date: May 9, 2006
Last Updated: Sep 17, 2007

Practice Location

Address: 575 S STATE ST
City: Orem
State: Utah
ZIP Code: 84058-6303
Phone: (801) 225-5264

Authorized Official

Name: DR. DAVID NOEL PETERSON, M.D.
Title: PRESIDENT
Phone: (801) 225-5264

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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