Organization
PETER V SUNDWALL MD PCA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER V SUNDWALL MD PCA (OWNER)
(801) 262-2443
Entity
Organization
Contact information
Practice address
4815 CENTER ST, MURRAY, UT 84107-4814
(801) 262-2443
(801) 262-8869
Mailing address
4815 CENTER ST, MURRAY, UT 84107-4814
(801) 262-2443
(801) 262-8869
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1498871205
UT
207Q00000X
Family Medicine Physician
1498878905
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528447834000
—
UT
Enumeration date
12/14/2007
Last updated
03/27/2008
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