Michael J. Peterson M.d LLC

NPI #1275718280 in Herriman, Utah

Provider Information

NPI Number: 1275718280
Entity Type: Organization
Organization Name: Michael J. Peterson M.d LLC
Primary Specialty: Family Medicine
Enumeration Date: Jan 9, 2008
Last Updated: Oct 7, 2008

Practice Location

Address: 5746 W 13400 S
City: Herriman
State: Utah
ZIP Code: 84096-6907
Phone: (801) 253-4001

Authorized Official

Name: DR. MICHAEL J PETERSON, M.D.
Title: OWNER/PHYSICIAN
Phone: (801) 253-4001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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