Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Cameron Glade Peterson, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1164604765

Dr. Cameron Glade Peterson, MD is a Physical Medicine and Rehabilitation in Logan, Utah. Qualified in 2005, 21 years ago. Practices with Wasatch Post-Acute Services, a 2-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
21
Licensed in
UT
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1300 N 500 E
Logan, UT 84341-2408
Phone: (435) 716-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 357812-1205 (UT)

Record details

NPI number1164604765
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 5, 2007
Last updated in NPPESFebruary 2, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Wasatch Post-Acute Services — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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