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NPI Code Detail

MEDICARE: DR. PETER ALEXANDER CAPUTO MD

MEDICARE: DR. PETER ALEXANDER CAPUTO 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
1208800000XUrology Physician35.124046OH
2208800000XUrology Physician9685201-1205UT

General Provider Information

NPI Number : 1992050041
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER ALEXANDER CAPUTO MD
Provider Business Mailing Address
First Line : 2965 W 3500 S
Second Line :
City : WEST VALLEY CITY
State : UT
Zip : 84119-3602
Country : US
Telephone Number : 801-965-3600
Fax Number :
Provider Business Practice Location Address
First Line : 4252 S HIGHLAND DR STE 200
Second Line :
City : HOLLADAY
State : UT
Zip : 84124-2690
Country : US
Telephone Number : 801-993-1800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2012
Last Update Date : 07/08/2025

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