Individual
MR. SHARIK L PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
405 S 200 W, RICHMOND, UT 84333-1267
(435) 258-5601
(435) 258-4545
Mailing address
405 S 200 W, RICHMOND, UT 84333-1267
(435) 258-5601
(435) 258-4545
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
275801-2401
UT
174400000X
Specialist
RPT-1264
ID
Other
Enumeration date
09/02/2006
Last updated
11/19/2010
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