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

Sean Darrell Peterson, MD

Individual provider Family Medicine Physician · NPI 1497142582

Sean Darrell Peterson, MD is a Family Practice in West Valley City, Utah. Graduated from University of New Mexico School of Medicine in 2015, 11 years ago. Practices with Granger Medical Clinic PC, a 191-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
11
Trained at
University of New Mexico School of Medicine
Licensed in
UT
In the registry since
2015
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

2965 W 3500 S
West Valley City, UT 84119-3602
Phone: (801) 965-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13953 S Bangerter Pkwy, Draper, UT 84020-5429 — (385) 900-4090

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 9853800-1205 (UT)

Record details

NPI number1497142582
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2015
Last updated in NPPESApril 18, 2024
Certification dateApril 18, 2024
Mailing address2965 W 3500 S, West Valley City, UT 84119-3602

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Granger Medical Clinic Pc — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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