Individual
DR. MICHAEL JAMES PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5746 W 13400 S, RIVERTON, UT 84065-6907
(801) 253-4001
(801) 253-4003
Mailing address
5746 W 13400 S, RIVERTON, UT 84065-6907
(801) 253-4001
(801) 253-4003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5354110-1205
UT
Other
Enumeration date
06/06/2006
Last updated
07/18/2014
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