# GAYLON K PETERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1316049588
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 154069-1205 | UT | Yes |

## Other

- **Enumeration date:** 09/01/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 107006473102 | IHC | UT |
| 01 | — | 1502954 | UMWA | UT |
| 01 | — | 2090168 | UNITED HEALTHCARE | UT |
| 01 | — | 36134 | DESERET MUTUAL | UT |
| 01 | — | 73539 | PEHP | UT |
| 05 | — | 820698 | — | AZ |
| 01 | — | 87035828609001 | BCBS | UT |
| 01 | — | 870545614GP2 | EDUCATORS MUTUAL | UT |
| 01 | — | 9969 | HEALTHY U | UT |
| 01 | — | QM0000075886 | ALTIUS | UT |
| 01 | — | TPRA06888 | MOLINA | UT |