Cameron G Peterson PC
Organization Active NPI Physical Medicine & Rehabilitation Physician · Hyde Park, UT
NPI 1386036077 · NPPES record last updated Mar 6, 2015
Key facts
- NPI
- 1386036077
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- M-12132 (ID)
- Legal business name
- CAMERON G PETERSON PC
- Practice address
- 740 E 150 S
Hyde Park, UT 84318-3541 - Phone
- (801) 598-8337
- Fax
- (801) 294-6917
- NPI assigned
- Mar 4, 2015
- Organization subpart
- No
Authorized official
- Name
- Cameron G Peterson, M.D.
- Title
- Sole Member
- Phone
- (801) 598-8337
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician |
208100000X | M-12132 | ID | Yes |
Addresses
Primary practice location
740 E 150 S
Hyde Park, UT 84318-3541
Mailing address
PO Box 307
Bountiful, UT 84011-0307
Phone (801) 294-6907
Other providers in Hyde Park, UT
- Amy Bowen
- Hailey Maqael Bowler
- Jordan Dee Brown
- Diane Buirley
- Cache Health
- Erin Campbell
- Abbey Carlson
- Morgan Dee Carlson
- Chiro-Active Inc.
- Melanie Christensen
All providers in Hyde Park, UT · Physical Medicine & Rehabilitation Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.