Organization
WESTERN PEAKS PHYSICIAN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIDIN IRAVANI MD (MANAGING MEMBER)
(917) 589-3056
Entity
Organization
Contact information
Practice address
1219 E BROWNING AVE, SALT LAKE CITY, UT 84105-2525
(917) 589-3056
Mailing address
PO BOX 58412, SALT LAKE CITY, UT 84158-0412
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
07/22/2024
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