Individual
DR. BENJAMIN EVANS PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5121 S COTTONWOOD ST, SALT LAKE CITY, UT 84107-5701
(801) 507-4000
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
14210673-1205
UT
207RI0011X
Interventional Cardiology Physician
56858
KY
Other
Enumeration date
03/27/2013
Last updated
12/11/2025
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