Organization
WASATCH CARDIOLOGY CONSULTANTS PC
Active
Parent organization
PEAK HEALTHCARE
Other names
PEAK HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEAK HEALTHCARE
Authorized official
DR. DAVID A RAWLING MD (OWNER)
(801) 293-7001
Entity
Organization
Contact information
Practice address
6011 S REDWOOD RD, TAYLORSVILLE, UT 84123-5220
(801) 293-7001
(801) 293-9500
Mailing address
6011 S REDWOOD RD, TAYLORSVILLE, UT 84123-5220
(801) 293-7001
(801) 293-9500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
174435-1205
UT
207RC0000X
Cardiovascular Disease Physician
Primary
174435-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000058100
TPAN
UT
01
—
060061547
MEDICARE PTAN
UT
01
—
U000058100
PTAN
UT
Enumeration date
12/03/2007
Last updated
01/06/2010
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