Mitchell Taylor Peterson
PHYSICIAN GROUP OF UTAH INC


Address: 1840 S 1300, Salt Lake City, UT 84105-3617
Phone: 8018323671

Mitchell Taylor Peterson (NPI# 1295078509, PAC ID# 5991002743) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.

Physician Overview

Nation Provider ID (NPI) 1295078509
PAC ID by PECOS 5991002743
Professional Enrollment ID I20160323000449
Full Name Mitchell Taylor Peterson
Organization Legal Name PHYSICIAN GROUP OF UTAH INC
Address 1840 S 1300
Salt Lake City
UT 84105-3617
Phone Number 8018323671
Gender M
Graduation Year 2012
Primary Specialty PHYSICAL THERAPY
Group Practice PAC ID 8022032234
Number of Group Practice Members 137
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1840 S 1300, Salt Lake City, UT 84105-3617 8018323671 PHYSICIAN GROUP OF UTAH INC

Organization Information

Organization Legal Name PHYSICIAN GROUP OF UTAH INC
Physicians 141

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Robert W Engelen Sports Medicine Physician Group of Utah Inc 3336 S Pioneer Pkwy, Suite 102, West Valley City, UT 84120-2072
Patricia L Judson Obstetrics/gynecology Physician Group of Utah Inc 3336 Pioneer Pkwy, Suite 301, West Valley City, UT 84120-2073
Laura Chelu Obstetrics/gynecology Physician Group of Utah Inc 82 S 1100, Suite 305, Salt Lake City, UT 84102-4703
Andrew Benjamin Ward Physician Assistant Physician Group of Utah Inc 3000 N Triumph Blvd, Lehi, UT 84043-4999
Nancy Lieu Clinical Social Worker Physician Group of Utah Inc 2530 W 4700 S, Salt Lake City, UT 84118-1865
Virginia J Homewood Obstetrics/gynecology Physician Group of Utah Inc 3580 W 9000, West Jordan, UT 84088-8812

Office Location

Street Address 1840 S 1300
City SALT LAKE CITY
State UT
Zip 84105-3617

Physicians in the same zip code

Name Specialty Organization Address
Mary Kay Coco Clinical Social Worker 1054 E 900, Salt Lake City, UT 84105-1433
Candace E Lowry Clinical Social Worker 1054 E 900, Salt Lake City, UT 84105-1433
Robert G Barth Clinical Social Worker 1131 E 900, Salt Lake City, UT 84105-1526
Douglas Bryan Bunker Psychologist, Clinical 1008 S 1300, Salt Lake City, UT 84105-1548
Angela Dawn Canada Chiropractic 1473 S, 600e, Salt Lake City, UT 84105-2062
Agueda Skinner Clinical Social Worker 1399 S 700 E, 12c, Salt Lake City, UT 84105-2149
Paula L Maloof Clinical Social Worker 1399 S 700 E, Suite 17, Salt Lake City, UT 84105-2171
Shawnee S Haws Physical Therapy Pinnacle Performance II Inc 1515 S 1100, Salt Lake City, UT 84105-2424
Jennifer P Divis Physical Therapy Pinnacle Performance II Inc 1515 S 1100, Salt Lake City, UT 84105-2424
Tessa F Hale Physical Therapy Pinnacle Performance II Inc 1515 S 1100, Salt Lake City, UT 84105-2424
Find all physicians in zip 84105

Competitor

Search similar physicians

City SALT LAKE CITY
Zip Code 84105
Specialty PHYSICAL THERAPY
City + Specialty SALT LAKE CITY + PHYSICAL THERAPY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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