Organization
UNIVERSITY OF UTAH DEPARTMENT OF OB-GYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
C. MATTHEW PETERSON MD (DEPARTMENT CHAIR)
(801) 581-2719
Entity
Organization
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2719
Mailing address
PO BOX 413028, SALT LAKE CITY, UT 84141-3028
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VC0200X
Critical Care Medicine (Obstetrics & Gynecology) Physician
—
—
207VG0400X
Gynecology Physician
—
—
207VX0000X
Obstetrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003022600
IDAHO MEDICAID
ID
01
—
100503086
NEVADA MEDICAID
NV
01
—
121965100
WYOMING MEDICAID
WY
Enumeration date
06/25/2006
Last updated
11/15/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us