Organization
UNIVERSITY OF UTAH OB DIAGNOSTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
C. MATTHEW PETERSON MD (DEPARTMENT CHAIR)
(801) 581-2719
Entity
Organization
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2719
Mailing address
PO BOX 58859, SALT LAKE CITY, UT 84158-0859
(801) 585-5172
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003054800
IDAHO MEDICAID
ID
01
—
100503089
NEVADA MEDICAID
NV
01
—
117769900
WYOMING MEDICAID
WY
05
—
870410144009
—
UT
Enumeration date
06/25/2006
Last updated
06/30/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us