| Organization Name: | UTAH HEAD AND NECK SURGERY |
| NPI Number: | 1093024689 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BARRY JOHN PETERSON (PHYSICIAN) |
| Mailing Address: | 945 W Hospital Dr Ste 1 Price |
| State: | UT US |
| Postal Code: | 845014230 |
| Phone Number: | 4356374327 |
| Fax Number: | 4356139709 |
| NPI Enumeration Date: | 09/29/2010 |
| NPI Last Update Date: | 09/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YS0123X |
| License Number: | O-0522 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in facial plastic surgery. |