Individual
CELESTE KNIGHT PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1160 E 3900 S STE 1200, SALT LAKE CITY, UT 84124-1251
(801) 365-0909
(801) 261-9656
Mailing address
5630 S WATERBURY WAY STE B102, SALT LAKE CITY, UT 84121-6209
(801) 274-2000
(801) 274-2020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11917518-1205
UT
207R00000X
Internal Medicine Physician
9965
MT
Other
Enumeration date
02/05/2018
Last updated
12/17/2021
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