# UNIVERSITY OF UTAH DEPT OF OB/GYN MATERNAL FETAL MEDICINE

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

## Provider details

- **NPI number:** 1164869830
- **Authorized official:** CHARLES M PETERSON MD (DEPARTMENT CHAIR)
- **Authorized official phone:** (801) 587-6470

## Contact information

- **Practice address:** 2001 ERRECART BLVD, ELKO, NV 89801-8333
- **Practice address phone:** (775) 738-5151
- **Mailing address:** PO BOX 413028, SALT LAKE CITY, UT 84141-3028
- **Mailing address phone:** (801) 213-3900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/04/2013
- **Last updated:** 06/04/2013