# PEAKS SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629516901
- **Authorized official:** DR. LEE J MAREK DPM (MEMBER)
- **Authorized official phone:** (831) 588-7296

## Contact information

- **Practice address:** 320 RIVER PARK DR STE 125, PROVO, UT 84604-6065
- **Practice address phone:** (831) 588-7296
- **Mailing address:** 320 RIVER PARK DR STE 125, PROVO, UT 84604-6065
- **Mailing address phone:** (831) 588-7296

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/07/2017
- **Last updated:** 04/16/2018