Park City Internal Medicine - Pediatrics, Lc
Park City Internal Medicine - Pediatrics, Lc is a Health Service Clinic/Center in Park City, Utah. Licensed in Utah. Registered with an NPI since 2008.
- Licensed in
- UT
- In the registry since
- 2008
Practice location Address checks out
1612 Ute Blvd Ste 205Park City, UT 84098-7500
Phone: (435) 655-3309
Fax: (435) 655-3392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Service Clinic/Center (primary) | Taxonomy 261QH0100X · Licence 5151398-1205 (UT) |
|---|
Record details
| NPI number | 1750569562 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Penny Peacock — Owner · (435) 655-3309 |
| NPI enumerated | February 4, 2008 |
| Last updated in NPPES | May 18, 2011 |
| Mailing address | 1612 Ute Blvd, Ste 205, Park City, UT 84098-7500 |
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