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

Dr. Marta J Petersen, MD

Individual provider Procedural Dermatology Physician · NPI 1972601508

Dr. Marta J Petersen, MD is a Dermatology in Salt Lake City, Utah. Graduated from University of Utah School of Medicine in 1975, 51 years ago. Practices with Dermatology Division University of Utah Medical Center, a 75-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
51
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2006
Specialties on file
2
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

50 N Medical Dr
Salt Lake City, UT 84132-1100
Phone: (801) 581-2955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 1664261205 (UT)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 1664261205 (UT)

Record details

NPI number1972601508
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESNovember 11, 2021
Certification dateNovember 11, 2021
Mailing addressPo Box 3208, Salt Lake City, UT 84110-3208

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 1975 (51 years in practice)
Group practice Dermatology Division University Of Utah Medical Center — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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