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Organization

SILVER PEAK MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA CURTIS (BILLING)
(480) 208-6539
Entity
Organization

Contact information

Practice address
1817 S MAIN ST STE 8, SALT LAKE CITY, UT 84115-7060
(435) 571-0245
(435) 602-4405
Mailing address
6300 SAGEWOOD DR STE 123, PARK CITY, UT 84098-7502
(435) 571-0245
(435) 602-4405

Taxonomy

Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
5633279
UT
207R00000X
Internal Medicine Physician
5633279
UT
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
5633279
UT

Other

Enumeration date
01/25/2016
Last updated
01/25/2016
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