Organization
PINNACLE FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER C CLEMENS D.O. (FAMILY PRACTICE)
(801) 475-7100
Entity
Organization
Contact information
Practice address
5495 S 500 E, SUITE 100, OGDEN, UT 84405-6923
(801) 475-7100
Mailing address
5495 S 500 E, SUITE 100, OGDEN, UT 84405-6923
(801) 475-7100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5285165-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222445365001
—
UT
Enumeration date
02/07/2007
Last updated
08/22/2020
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