Organization
WH-BM CONSULTANT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WEI PENG M.D. PH.D (DOCTOR)
(801) 328-1260
Entity
Organization
Contact information
Practice address
1060 E 100 S, L10, SALT LAKE CITY, UT 84102-1501
(801) 328-1260
(801) 350-4361
Mailing address
PO BOX 150173, OGDEN, UT 84415-0173
(801) 479-0601
(801) 479-4768
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
53549081205
UT
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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