Individual
DAVID CHRISTOPHER PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
630 MEDICAL DR, BOUNTIFUL, UT 84010-4908
(801) 299-2160
(801) 299-2549
Mailing address
630 MEDICAL DR, BOUNTIFUL, UT 84010-4908
(801) 299-2160
(801) 299-2549
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
235854
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D6794
—
UT
05
—
I55217
—
UT
Enumeration date
06/28/2006
Last updated
11/12/2007
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