person
Dr. Miriam Peckham, MD
Student in an Organized Health Care Education/Training Program in Salt Lake City, Utah
NPI 1598056848

Miriam Peckham is a Student in an Organized Health Care Education/Training Program based in Salt Lake City, UT. Miriam Peckham practices in Salt Lake City, UT and has the professional credentials of MD. The NPI Number for Miriam Peckham is 1598056848 and holds a License No. 9683730-1205 (Utah).

The current practice location address for Miriam Peckham is 30 N 1900 E # 1C412, Salt Lake City, UT and can be reached out via phone at 801-581-2401 and via fax at 801-585-2507. You can also correspond with Miriam Peckham through the mailing address at 30 N 1900 E # 1C412, SALT LAKE CITY, UT - 84132-2115 (mailing address contact number: 801-581-2401).

Location: 30 N 1900 E # 1C412, Salt Lake City, UT, 84132-2115
person
Provider Profile Details
NPI Number
1598056848
Provider Name
Miriam Peckham
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
30 N 1900 E # 1C412, Salt Lake City, UT, 84132-2115
Phone Number
801-581-2401
Fax Number
801-585-2507
Provider Enumeration Date
04/20/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
30 N 1900 E # 1C412
City
State
Zip
84132-2115
Phone Number
801-581-2401
Fax Number
801-585-2507
person
Provider Business Mailing Address Details
Address
30 N 1900 E # 1C412
City
State
Zip
84132-2115
Phone Number
801-581-2401
Fax Number
801-585-2507
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
9683730-1205 (Utah)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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