Individual
DAVID NORMAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MARIO CAPECCHI DR, PEDIATRIC ANESTHESIOLOGISTS, INC., SALT LAKE CITY, UT 84113-1103
(801) 662-3578
Mailing address
130 E BRAEWICK RD, SALT LAKE CITY, UT 84103-2201
(801) 803-9228
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
8681741205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/09/2008
Last updated
07/11/2013
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