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

Mitchell Alan Peterson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629489596

Mitchell Alan Peterson, MD is a Student in an Organized Health Care Education/Training Program in South Jordan, Utah. Works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1268 W South Jordan Pkwy Ste 201
South Jordan, UT 84095-4653
Phone: (801) 254-9700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 — (801) 662-5700

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 9529304-1205 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1629489596
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 14, 2014
Last updated in NPPESJuly 21, 2022
Mailing address1268 W South Jordan Pkwy Ste 201, South Jordan, UT 84095-4653

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