Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin James Peck

Individual provider Physician Assistant · NPI 1659855575

Justin James Peck is a Physician Assistant in Murray, Utah. Qualified in 2018, 8 years ago. Practices with The Orthopedic Clinic Lc, an 18-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
8
Licensed in
UT
In the registry since
2018
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Practice location Address checks out

5171 S Cottonwood St Ste 740
Murray, UT 84107-5705
Phone: (801) 567-9780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10973530-1206 (UT)

Record details

NPI number1659855575
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 17, 2018
Last updated in NPPESFebruary 7, 2020
Certification dateFebruary 7, 2020
Mailing address5171 S Cottonwood St Ste 740, Murray, UT 84107-5705

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice The Orthopedic Clinic Lc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Murray