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WASATCH PEAK FAMILY PRACTICE INC NPI 1790998359


NPI Information

NPI: 1790998359
Provider Name: WASATCH PEAK FAMILY PRACTICE INC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 46D0979868

Address:
1580 W ANTELOPE DR
SUITE 200
LAYTON, UT
ZIP 84041
Phone: (801) 773-4770
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WASATCH PEAK FAMILY PRACTICE INC is a general practice in Layton, UT. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee WASATCH PEAK FAMILY PRACTICE INC NPI is 1790998359. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1580 W ANTELOPE DR
SUITE 200
LAYTON, UT
ZIP 84041-160
Phone: (801) 773-4770
Fax: (801) 773-4776

The provider's authorized official is Lynette Chowning .
The authorized official title is Office Manager and has the following contact phone number (801) 773-4770.

The CLIA number assigned to this NPI record is 46D0979868 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/8/2007 and was last updated on 5/8/2015.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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