Individual
EMILY PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
425 MEDICAL DR, SUITE 205, BOUNTIFUL, UT 84010-4945
(801) 298-3812
Mailing address
2925 N CHURCH ST, UNIT B301, LAYTON, UT 84040-6593
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9500978-1206
UT
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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