Peter V Sundwall Md Pca | |
4815 Center St Murray UT 84107-4814 | |
(801) 262-2443 | |
(801) 262-8869 |
Full Name | Peter V Sundwall Md Pca |
---|---|
Speciality | Family Medicine |
Location | 4815 Center St, Murray, Utah |
Authorized Official Name and Position | Peter V Sundwall (OWNER) |
Authorized Official Contact | 8012622443 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Peter V Sundwall Md Pca 4815 Center St Murray UT 84107-4814 Ph: (801) 262-2443 | Peter V Sundwall Md Pca 4815 Center St Murray UT 84107-4814 Ph: (801) 262-2443 |
NPI Number | 1053594861 |
---|---|
Provider Enumeration Date | 12/14/2007 |
Last Update Date | 03/27/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053594861 | NPI | - | NPPES |
528447834000 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1498871205 (Utah) | Primary |
207Q00000X | Family Medicine | 1498878905 (Utah) | Secondary |
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