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Organization
GRANITE PEAKS PATHOLOGY II LLC.
Active
Organization
GRANITE PEAKS PATHOLOGY II LLC.
Active
Other names
Granite Peaks Pathology
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT KYLE BARNETT M.D. (PRESIDENT)
(801) 619-9000
Entity
Organization
Contact information
Practice address
1393 E SEGO LILY DR, SANDY, UT 84092-4350
(801) 619-9000
(801) 572-7616
Mailing address
1393 E SEGO LILY DR, SANDY, UT 84092-4350
(801) 619-9000
(801) 572-7616
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2424607-1205
UT
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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