# WASATCH MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053360917
- **Authorized official:** DR. DAVID NOEL PETERSON M.D. (PRESIDENT)
- **Authorized official phone:** (801) 225-5264

## Contact information

- **Practice address:** 575 S STATE ST, OREM, UT 84058-6303
- **Practice address phone:** (801) 225-5264
- **Practice address fax:** (801) 229-2420
- **Mailing address:** 575 S STATE ST, OREM, UT 84058-6303
- **Mailing address phone:** (801) 225-5264
- **Mailing address fax:** (801) 229-2420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | UT | Yes |

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 09/17/2007