PARK CITY INTERNAL MEDICINE - PEDIATRICS, LC is a health service clinic center in Park City, UT. PARK CITY INTERNAL MEDICINE - PEDIATRICS, LC NPI is 1750569562. The provider is registered as an organization entity type.
The provider's business location address is:
1612 UTE BLVD
STE 205
PARK CITY, UT
ZIP 84098-500
Phone: (435) 655-3309
Fax: (435) 655-3392
The provider's authorized official is Penny Peacock .
The authorized official title is Owner and has the following contact phone number (435) 655-3309.
The enumeration date for this NPI number is 2/4/2008 and was last updated on 5/18/2011.