OrganizationActive
Robert G Peterson, MD, PC
NPI 1629249495 · Neurological Surgery Physician · Salt Lake City, UT
Provider details
- NPI number
- 1629249495
- Entity type
- Organization
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Robert Peterson, President of Corporation
- License
- 180034-1205 (UT)
Practice location
370 Ninth Ave
Ste 111
Salt Lake City, UT 84103-2877
Phone: (801) 408-2233
Fax: (801) 408-2870
Mailing address
370 Ninth Ave
Salt Lake City, UT 84103-2877
Registry dates
- Enumerated
- 2008-03-19
- Last updated
- 2008-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.