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Organization
UNIVERSITY OF UTAH DEPT OF OB/GYN MATERNAL FETAL MEDICINE
Active
Organization
UNIVERSITY OF UTAH DEPT OF OB/GYN MATERNAL FETAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES M PETERSON MD (DEPARTMENT CHAIR)
(801) 587-6470
Entity
Organization
Contact information
Practice address
2001 ERRECART BLVD, ELKO, NV 89801-8333
(775) 738-5151
Mailing address
PO BOX 413028, SALT LAKE CITY, UT 84141-3028
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
NULL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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