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Organization
PEAK ENT ASSOCIATES
Active
Organization
PEAK ENT ASSOCIATES
Active
Other names
Thyroid Institute of Utah
Organization subpart
No
Provider details
NPI number
Authorized official
TIM PRUSSE (ADMINISTRATOR)
(801) 357-7499
Entity
Organization
Contact information
Practice address
1055 N 300 W, SUITE 401, PROVO, UT 84604-3344
(801) 357-7499
(801) 373-5980
Mailing address
1055 N 300 W, SUITE 401, PROVO, UT 84604-3344
(801) 357-7499
(801) 373-5980
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207Y00000X
Otolaryngology Physician
—
NULL
207Y00000X
Otolaryngology Physician
—
—
207YX0602X
Otolaryngic Allergy Physician
—
NULL
207YX0602X
Otolaryngic Allergy Physician
—
—
207YX0901X
Otology & Neurotology Physician
—
NULL
207YX0901X
Otology & Neurotology Physician
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
NULL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
231H00000X
Audiologist
—
NULL
231H00000X
Audiologist
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/19/2009
Last updated
09/02/2025
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