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PETER V SUNDWALL MD PCA NPI 1053594861


NPI Information

NPI: 1053594861
Provider Name: PETER V SUNDWALL MD PCA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4815 CENTER ST
MURRAY, UT
ZIP 84107
Phone: (801) 262-2443
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PETER V SUNDWALL MD PCA is a family medicine in Murray, UT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PETER V SUNDWALL MD PCA NPI is 1053594861. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4815 CENTER ST
MURRAY, UT
ZIP 84107-814
Phone: (801) 262-2443
Fax: (801) 262-8869

The provider's authorized official is Peter V Sundwall .
The authorized official title is Owner and has the following contact phone number (801) 262-2443.

The enumeration date for this NPI number is 12/14/2007 and was last updated on 3/27/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine1498878905UTAHNo
2207Q00000XFamily Medicine1498871205UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10773070001MEDICARE NSCUTAH
2C63799MEDICARE UPIN
3528447834000MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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