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NPI Code Detail

MEDICARE: PETER H FRECH MD

MEDICARE: PETER H FRECH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085B0100XBody Imaging Physician12484MT
22085R0202XDiagnostic Radiology Physician5414497-1205UT
32085R0202XDiagnostic Radiology Physician12484MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558584235
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER H FRECH MD
Provider Business Mailing Address
First Line : 5334 S WOODROW ST STE 100
Second Line :
City : MURRAY
State : UT
Zip : 84107-5838
Country : US
Telephone Number : 801-713-0600
Fax Number : 801-713-0601
Provider Business Practice Location Address
First Line : 5334 S WOODROW ST STE 100
Second Line :
City : MURRAY
State : UT
Zip : 84107-5838
Country : US
Telephone Number : 801-713-0600
Fax Number : 801-713-0601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 04/27/2026

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Directions to “ PETER H FRECH MD” Practice Location

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