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Organization
UNIVERSITY OF UTAH DEPARTMENT OF OB-GYN
Active
Organization
UNIVERSITY OF UTAH DEPARTMENT OF OB-GYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
C. MATTHEW PETERSON MD (DEPARTMENT CHAIR)
(801) 581-2719
Entity
Organization
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2719
Mailing address
PO BOX 413028, SALT LAKE CITY, UT 84141-3028
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VC0200X
Critical Care Medicine (Obstetrics & Gynecology) Physician
—
NULL
207VC0200X
Critical Care Medicine (Obstetrics & Gynecology) Physician
—
—
207VG0400X
Gynecology Physician
—
NULL
207VG0400X
Gynecology Physician
—
—
207VX0000X
Obstetrics Physician
—
NULL
207VX0000X
Obstetrics Physician
—
—
Other
Enumeration date
06/25/2006
Last updated
11/15/2012
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