Peggy B Petersen
Anesthesiology in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1245238104
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1245238104
- Entity type
- Individual (NPI-1)
- Name
- Peggy B Petersen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2005
- Last updated
- Jul 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ANESTHESIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 1748333-1205 | UT | Yes |
Practice location
3838 S 700 ESte 200
Salt Lake City, UT 84106-1466
Phone 801-261-4988 · Fax 801-269-9427
Mailing address
Po Box 27688Salt Lake City, UT 84127-0688
Phone 801-534-1360 · Fax 801-366-9883
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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