# PEAK ENT ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Thyroid Institute of Utah
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346489036
- **Authorized official:** TIM PRUSSE (ADMINISTRATOR)
- **Authorized official phone:** (801) 357-7499

## Contact information

- **Practice address:** 1055 N 300 W, SUITE 401, PROVO, UT 84604-3344
- **Practice address phone:** (801) 357-7499
- **Practice address fax:** (801) 373-5980
- **Mailing address:** 1055 N 300 W, SUITE 401, PROVO, UT 84604-3344
- **Mailing address phone:** (801) 357-7499
- **Mailing address fax:** (801) 373-5980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |
| 231H00000X | Audiologist | — | NULL | — |
| 231H00000X | Audiologist | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/19/2009
- **Last updated:** 09/02/2025