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Dr. Peter Blaine Hathaway, MD
Vascular & Interventional Radiology Physician in Farmington, Utah
NPI 1730187824

Peter Blaine Hathaway is a Vascular & Interventional Radiology Physician based in Salt Lake City, UT and is specialized in Vascular & Interventional Radiology. Peter Blaine Hathaway practices in Farmington, UT and has the professional credentials of MD. The NPI Number for Peter Blaine Hathaway is 1730187824 and holds a License No. 372564-1205 (Utah).

The current practice location address for Peter Blaine Hathaway is 1433 N 1075 W Ste 104, Farmington, UT and can be reached out via phone at 801-298-1300.

Location: 1433 N 1075 W Ste 104, Farmington, UT, 84125-0488
person
Provider Profile Details
NPI Number
1730187824
Provider Name
Peter Blaine Hathaway
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1433 N 1075 W Ste 104, Farmington, UT, 84125-0488
Phone Number
801-298-1300
Fax Number
Provider Enumeration Date
07/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8067535 05 ID
002089152 05 NV
P00196218 01 UT RR MEDICARE
120828400 05 WY
4456436 05 CA
927733 05 AZ
P00651533 01 UT RR MEDICARE
D2916 05 UT
institution
Provider Business Practice Location Address Details
Address
1433 N 1075 W Ste 104
City
State
Zip
84025-2746
Phone Number
801-298-1300
Fax Number
person
Provider Business Mailing Address Details
Address
1433 N 1075 W Ste 104
City
State
Zip
84025-2746
Phone Number
801-298-1300
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
372564-1205 (Utah)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
License No.
372564-1205 (Utah)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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