Individual
ANTHONY MICHAEL PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6550 S MILLROCK DR STE 250, SALT LAKE CITY, UT 84121-2331
(801) 821-2781
(801) 901-1194
Mailing address
6550 S MILLROCK DR STE 250, SALT LAKE CITY, UT 84121-2331
(801) 821-2613
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
8797789-1205
UT
2084P0800X
Psychiatry Physician
MD457218
PA
Other
Enumeration date
04/24/2012
Last updated
02/26/2026
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