PEAK ENT ASSOCIATES NPI 1346489036

NPI Information

PEAK ENT ASSOCIATES is an otolaryngology/facial plastic surgery otolaryngology in Provo, UT. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. PEAK ENT ASSOCIATES NPI is 1346489036. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Thyroid Institute Of Utah.

The provider's business location address is:

1055 N 300 W
SUITE 401
PROVO, UT
ZIP 84604-344
Phone: (801) 357-7499
Fax: (801) 373-5980

The provider's authorized official is Tim Prusse .
The authorized official title is Administrator and has the following contact phone number (801) 357-7499.

The CLIA number assigned to this NPI record is 46D2054495 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/19/2009 and was last updated on 3/30/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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