Organization
UTAH CENTER FOR REPRODUCTIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MATTHEW PETERSON MD (DEPARTMENT CHAIR)
(801) 581-2121
Entity
Organization
Contact information
Practice address
675 ARAPEEN DR, 205, SALT LAKE CITY, UT 84108-1223
(801) 581-2121
Mailing address
PO BOX 410475, SALT LAKE CITY, UT 84141-3475
(801) 213-3800
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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