Individual
RODNEY C PETERSEN
Active
Individual
RODNEY C PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
158619-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107006210103
IHC
UT
01
—
228465
DMBA
UT
01
—
870284448PE1
EMIA
UT
Enumeration date
05/26/2006
Last updated
10/26/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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