| Lone Peak Primary Care Llc | |
|
10011 Centennial Pkwy Suite 150 Sandy UT 84070-4156 | |
| (801) 545-8480 | |
| (801) 545-8495 |
| Full Name | Lone Peak Primary Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10011 Centennial Pkwy, Sandy, Utah |
| Authorized Official Name and Position | David J Kane (VP) |
| Authorized Official Contact | 8015685999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lone Peak Primary Care Llc 10011 Centennial Pkwy Suite 150 Sandy UT 84070-4156 Ph: (801) 545-8480 | Lone Peak Primary Care Llc 10011 Centennial Pkwy Suite 150 Sandy UT 84070-4156 Ph: (801) 545-8480 |
| NPI Number | 1447360383 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 03/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447360383 | NPI | - | NPPES |
| 1447360383 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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