Individual
MATTHEW MARTIN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
170 N 1100 E, AMERICAN FORK, UT 84003-2096
(801) 855-3300
Mailing address
170 N 1100 E, AMERICAN FORK, UT 84003-2096
(801) 855-3300
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
11119648-1205
UT
207L00000X
Anesthesiology Physician
A141623
CA
Other
Enumeration date
04/25/2012
Last updated
02/08/2022
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