Individual
MR. JOSHUA C PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5121 S COTTONWOOD STREET, MURRAY, UT 84107-5701
(801) 507-7000
(770) 701-6675
Mailing address
PO BOX 3570, SALT LAKE CITY, UT 84110-3570
(801) 727-2056
(770) 701-6675
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5827853-1204
UT
207L00000X
Anesthesiology Physician
9408556
KS
Other
Enumeration date
04/30/2015
Last updated
08/29/2019
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