Individual
DR. ALICIA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 N 1900 E RM 1C026, SALT LAKE CITY, UT 84132-0002
(863) 263-4012
Mailing address
30 N 1900 E RM 1C026, SALT LAKE CITY, UT 84132-0002
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
50088
AZ
207P00000X
Emergency Medicine Physician
62380
MN
207P00000X
Emergency Medicine Physician
9353662-1205
UT
207P00000X
Emergency Medicine Physician
TL3003
WY
Other
Enumeration date
05/07/2012
Last updated
11/11/2021
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