Provider Demographics
NPI:1699844001
Name:SILVERO, PETER (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:
Last Name:SILVERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3336 S 4155 W
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WEST VALLEY CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84120-2000
Mailing Address - Country:US
Mailing Address - Phone:801-964-3925
Mailing Address - Fax:801-964-3928
Practice Address - Street 1:3336 S 4155 W
Practice Address - Street 2:SUITE 102
Practice Address - City:WEST VALLEY CITY
Practice Address - State:UT
Practice Address - Zip Code:84120-2000
Practice Address - Country:US
Practice Address - Phone:801-964-3925
Practice Address - Fax:801-964-3928
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME72774207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery