Organization
PEAK MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARISE CARLSON ATTORNEY (MANAGING MEMBER)
(907) 252-6357
Entity
Organization
Contact information
Practice address
1486 E SKYLINE DR STE 200, OGDEN, UT 84405-4863
(801) 436-5937
(801) 610-7823
Mailing address
1486 E SKYLINE DR STE 200, OGDEN, UT 84405-4863
(801) 436-5937
(801) 610-7823
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
06/20/2022
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