| 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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