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Individual

PETER J. EDMONDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
324 E 10TH AVE STE 170, SALT LAKE CITY, UT 84103-2858
(801) 408-6131
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
58540
TN
207RP1001X
Pulmonary Disease Physician
Primary
13327654-1205
UT
207RS0012X
Sleep Medicine (Internal Medicine) Physician
13327654-1205
UT

Other

Enumeration date
04/18/2016
Last updated
11/17/2025
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