# UTAH HEAD AND NECK SURGERY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1093024689
- **Authorized official:** DR. BARRY JOHN PETERSON DO (PHYSICIAN)
- **Authorized official phone:** (435) 637-4327

## Contact information

- **Practice address:** 945 W HOSPITAL DR STE 1, PRICE, UT 84501-4230
- **Practice address phone:** (435) 637-4327
- **Practice address fax:** (435) 613-9709
- **Mailing address:** 945 W HOSPITAL DR STE 1, PRICE, UT 84501-4230
- **Mailing address phone:** (435) 637-4327
- **Mailing address fax:** (435) 613-9709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0123X | Facial Plastic Surgery Physician | O-0522 | UT | Yes |

## Other

- **Enumeration date:** 09/29/2010
- **Last updated:** 09/29/2010