Individual
PETER HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
637 S MAIN ST, BOUNTIFUL, UT 84010-6364
(435) 994-8215
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
1376905497
UT
207RX0202X
Medical Oncology Physician
Primary
M-16598
ID
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/28/2016
Last updated
10/25/2022
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