Organization
MOUNTAIN PEAKS FAMILY PRACTICE LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA SKALA BASSETT (MANAGER)
(801) 471-5163
Entity
Organization
Contact information
Practice address
501 E 770 N, OREM, UT 84097-4102
(801) 724-9840
Mailing address
501 E 770 N, OREM, UT 84097-4102
(801) 724-9840
(801) 235-1509
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447332465
—
UT
Enumeration date
11/19/2008
Last updated
04/21/2026
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