| Michael J. Peterson M.d Llc | |
|
5746 W 13400 S Herriman UT 84096-6907 | |
| (801) 253-4001 | |
| (801) 253-4003 |
| Full Name | Michael J. Peterson M.d Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5746 W 13400 S, Herriman, Utah |
| Authorized Official Name and Position | Michael J Peterson (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8012534001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J. Peterson M.d Llc 5746 W 13400 S Herriman UT 84096-6907 Ph: (801) 253-4001 | Michael J. Peterson M.d Llc 5746 W 13400 S Herriman UT 84096-6907 Ph: (801) 253-4001 |
| NPI Number | 1275718280 |
|---|---|
| Provider Enumeration Date | 01/09/2008 |
| Last Update Date | 10/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275718280 | NPI | - | NPPES |
| 079585401001 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5354110-1205 (Utah) | Primary |
David D. Poor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5746 W 13400 S, Herriman, UT 84096 Phone: 801-253-4001 Fax: 801-253-4003 | |
David D. Poor M.d. Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5746 W 13400 S, Herriman, UT 84065 Phone: 801-253-4001 Fax: 801-253-4001 | |
Gregory S Daynes Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5746 W 13400 S, Herriman, UT 84096 Phone: 801-253-4001 | |
Herriman Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5746 W 13400 S, Herriman, UT 84096 Phone: 801-253-4001 Fax: 801-253-4003 | |
Health Evolution Solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5857 W Emmeline Dr, Herriman, UT 84096 Phone: 801-842-4595 |