Jeffrey Steven Peterson, MD | |
3741 W 12600 S, Riverton, UT 84065-7215 | |
(801) 285-4000 | |
Not Available |
Full Name | Jeffrey Steven Peterson |
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Gender | Male |
Speciality | Anesthesiology |
Location | 3741 W 12600 S, Riverton, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598323271 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | R-11541 (Iowa) | Secondary |
207L00000X | Anesthesiology | 13317776-1205 (Utah) | Primary |
Entity Name | Mountain West Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558391763 PECOS PAC ID: 9032018502 Enrollment ID: O20040103000057 |
Mailing Address | Practice Location Address |
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Jeffrey Steven Peterson, MD 3340 N Center St, Lehi, UT 84043-7406 Ph: (801) 990-1911 | Jeffrey Steven Peterson, MD 3741 W 12600 S, Riverton, UT 84065-7215 Ph: (801) 285-4000 |
Suzanne H Harrison, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3741 W 12600 S, Riverton Hospital, Riverton, UT 84065 Phone: 801-285-4000 Fax: 801-733-5618 | |
Richard G Maxwell, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3741 W 12600 S, Riverton Hospital, Riverton, UT 84065 Phone: 801-285-4000 Fax: 801-733-5618 | |
Fae L Engstrom, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3741 W 12600 S, Riverton Hospital, Riverton, UT 84065 Phone: 801-285-4000 Fax: 801-733-5618 | |
Mr. Andrew Wilson, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3741 W 12600 S, Riverton, UT 84065 Phone: 801-727-2056 Fax: 770-701-6676 | |
Darren C Jacobsen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3741 W 12600 S, Riverton Hospital, Riverton, UT 84065 Phone: 801-285-4000 Fax: 801-733-5618 | |
Robert Philip Edwards, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3741 W 12600 S, Riverton Hospital, Riverton, UT 84065 Phone: 801-285-4000 Fax: 801-733-5618 | |
Randall J Bready, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3741 W 12600 S, Riverton Hospital, Riverton, UT 84065 Phone: 801-285-4000 Fax: 801-733-5618 |