Everett Mark Petersen, M.D.

Anesthesiology Physician · Sandy, UT

Individual Active NPI

NPI number 1508061177

Practice location

9660 South 1300 East
Alta View Hospital
Sandy, UT 84094
Phone
(801) 501-2600

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NPI record

NPI
1508061177
Entity type
Individual (Type 1)
Enumeration date
June 15, 2007
Last updated
October 15, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Anesthesiology Physician Primary 207L00000X TRN11004 FL
Anesthesiology Physician 207L00000X 370770-1205 UT

Mailing address

3340 North Center St
#800
Lehi, UT 84043-7406
Phone
(801) 990-1911

About Dr. Petersen

Everett Mark Petersen, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Anesthesiology Physician (code 207L00000X). The practice location is 9660 South 1300 East, Alta View Hospital, Sandy, UT 84094. The NPI number 1508061177 was assigned on June 15, 2007 and the record was last updated on October 15, 2012.

Dr. Petersen lists 2 licenses in the registry: #TRN11004 (FL) for Anesthesiology Physician; #370770-1205 (UT) for Anesthesiology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Everett Mark Petersen, M.D.?

The NPI number is 1508061177.

What is the phone number of Dr. Petersen?

The phone number listed for the practice location is (801) 501-2600.

Where is Dr. Petersen located?

9660 South 1300 East, Alta View Hospital, Sandy, UT 84094.

What is the taxonomy code for Dr. Petersen?

The primary taxonomy code is 207L00000X – Anesthesiology Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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