# PEDIATRIC ANESTHESIOLOGISTS INC

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

## Provider details

- **NPI number:** 1417965799
- **Authorized official:** W. CURTIS PETERSON MD (PRESIDENT)
- **Authorized official phone:** (888) 249-4598

## Contact information

- **Practice address:** 100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
- **Practice address phone:** (888) 249-4598
- **Practice address fax:** (801) 432-2670
- **Mailing address:** PO BOX 3870, SALT LAKE CITY, UT 84110-3870
- **Mailing address phone:** (888) 249-4598
- **Mailing address fax:** (801) 432-2670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 09/14/2009