Peterson, Mitchell Alan

Peterson, Mitchell Alan is an individual health care provider with primary practice located at 1268 W South Jordan Pkwy Ste 201 , South Jordan UT 84095-4653. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Peterson, Mitchell Alan can be contacted via phone (801) 254-9700.

Contact Information

Primary practice address
1268 W South Jordan Pkwy Ste 201 South Jordan UT 84095-4653
Phone: (801) 254-9700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9529304-1205 Utah

Profile Details

NPI number 1629489596
LBN Legal business name Peterson, Mitchell Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2014
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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