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Organization

GRANITE PEAKS PATHOLOGY II LLC.

Active
Other names
Granite Peaks Pathology
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT KYLE BARNETT M.D. (PRESIDENT)
(801) 619-9000
Entity
Organization

Contact information

Practice address
1393 E SEGO LILY DR, SANDY, UT 84092-4350
(801) 619-9000
(801) 572-7616
Mailing address
1393 E SEGO LILY DR, SANDY, UT 84092-4350
(801) 619-9000
(801) 572-7616

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2424607-1205
UT

Other

Enumeration date
10/18/2016
Last updated
10/18/2016
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