WALLACE PETERSON, MD
Anesthesiology
Active
Individual
NPI: 1164539987
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Anesthesiology | 207L00000X | Yes | 168281-1205 (UT) |
Frequently Asked Questions
NPI 1164539987 is the National Provider Identifier for WALLACE PETERSON, MD, a Anesthesiology provider located in Salt Lake City, UT. This NPI was enumerated on August 25, 2006.
WALLACE PETERSON, MD practices at 100 N MEDICAL DR, Salt Lake City, UT 84113.
Quick Facts
- NPI
- 1164539987
- Type
- Individual
- Enumerated
- Aug 25, 2006
- Last Updated
- Jul 8, 2007
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