Robert G Peterson, Md, Pc

LBN: Robert G Peterson, Md, Pc
Robert G Peterson, Md, Pc is an health care organization with primary practice located at 370 Ninth Ave Ste 111, Salt Lake City UT 84103-2877. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. Robert G Peterson, Md, Pc can be contacted via phone (801) 408-2233, or through Peterson, Robert G via phone (801) 408-2233.

Contact Information

Primary practice address
370 Ninth Ave Ste 111 Salt Lake City UT 84103-2877
Phone: (801) 408-2233
Fax: (801) 408-2870
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Robert G Doctor of Medicine (MD)
Phone: (801) 408-2233

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 180034-1205 Utah

Profile Details

NPI number 1629249495
LBN Legal business name Robert G Peterson, Md, Pc
DBA Doing business as
Authorized official Peterson, Robert G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2008
Last updated Mar 19th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629249495 NPPES
Utah MEDICAID 528801589001

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