Brian R Peterson MD PC

NPI #1669662532 in West Jordan, Utah

Provider Information

NPI Number: 1669662532
Entity Type: Organization
Organization Name: Brian R Peterson MD PC
Primary Specialty: Specialist
Enumeration Date: Jul 27, 2007
Last Updated: Jul 27, 2007

Practice Location

Address: 3584 W 9000 S
Address 2: SUITE 311
City: West Jordan
State: Utah
ZIP Code: 84088-4775
Phone: (801) 566-8304

Authorized Official

Name: BRIAN R PETERSON, MD
Title: SOLE PROPRIETOR
Phone: (801) 566-8304

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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