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Organization

PEDIATRIC ANESTHESIOLOGISTS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
W. CURTIS PETERSON MD (PRESIDENT)
(888) 249-4598
Entity
Organization

Contact information

Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
(888) 249-4598
(801) 432-2670
Mailing address
PO BOX 3870, SALT LAKE CITY, UT 84110-3870
(888) 249-4598
(801) 432-2670

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
08/03/2006
Last updated
09/14/2009
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