# CAMERON G PETERSON PC

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

## Provider details

- **NPI number:** 1386036077
- **Authorized official:** CAMERON G PETERSON M.D. (SOLE MEMBER)
- **Authorized official phone:** (801) 598-8337

## Contact information

- **Practice address:** 740 E 150 S, HYDE PARK, UT 84318-3541
- **Practice address phone:** (801) 598-8337
- **Practice address fax:** (801) 294-6917
- **Mailing address:** PO BOX 307, BOUNTIFUL, UT 84011-0307
- **Mailing address phone:** (801) 294-6907
- **Mailing address fax:** (801) 294-6917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | M-12132 | ID | Yes |

## Other

- **Enumeration date:** 03/04/2015
- **Last updated:** 03/06/2015