Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN R PETERSON, M.D.
Active Sole ProprietorOtolaryngic Allergy · WEST JORDAN, UT
Registration Details
- NPI Number
- 1316978687
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2006 (19.844938246378 yrs)
- Last Updated
- Nov 2, 2020
- Licenses
-
036142390 (IL)313974-1205 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3584 W 9000 SSUITE 311WEST JORDAN, UT, 840885710Browse UT providers · Browse ZIP 84088
- Phone
- 8015668304
- Fax
- 8015668304
- Primary Specialty
-
Otolaryngic Allergy
207YX0901X
- Additional Specialty
- Otolaryngic Allergy
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.