Individual
PETER C AGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1160 E 3900 S, #G200, SALT LAKE CITY, UT 84124-1202
(801) 268-7766
Mailing address
PO BOX 271220, SALT LAKE CITY, UT 84127-1220
(801) 268-7860
(801) 270-3331
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1667621205
UT
208M00000X
Hospitalist Physician
Primary
166762-1205
UT
Other
Enumeration date
09/03/2006
Last updated
09/21/2010
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