Individual
MITCHELL ALAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1268 W SOUTH JORDAN PKWY STE 201, SOUTH JORDAN, UT 84095-4653
(801) 254-9700
Mailing address
1268 W SOUTH JORDAN PKWY STE 201, SOUTH JORDAN, UT 84095-4653
(801) 254-9700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9529304-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2014
Last updated
07/21/2022
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