Search › Utah › 207QS0010X
Mark Peterson, DO
NPI 1326374562 · on the registry since 2009
Practice
- Address
- 2200 Park Ave. Bldg. D Ste. 100
Park City, UT 84060 - Phone
- (435) 615-8822
- Fax
- (435) 615-8823
- Organisation at this address
- Heiden Orthopedics,Llc
Catholic Health Initiatives ColoradoInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 207QS0010X
207QS0010X
- Also registered as
- 207Q00000X
207Q00000X
390200000X - Licence states on file
- MI, AR, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-02-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah