| Peak Medical Clinic, Llc | |
|
1486 E Skyline Dr Ste 200 Ogden UT 84405-4863 | |
| (801) 436-5937 | |
| (801) 610-7823 |
| Full Name | Peak Medical Clinic, Llc |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 1486 E Skyline Dr Ste 200, Ogden, Utah |
| Authorized Official Name and Position | Charise Carlson (MANAGING MEMBER) |
| Authorized Official Contact | 9072526357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peak Medical Clinic, Llc 1486 E Skyline Dr Ste 200 Ogden UT 84405-4863 Ph: (801) 436-5937 | Peak Medical Clinic, Llc 1486 E Skyline Dr Ste 200 Ogden UT 84405-4863 Ph: (801) 436-5937 |
| NPI Number | 1336807486 |
|---|---|
| Provider Enumeration Date | 12/06/2021 |
| Last Update Date | 06/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336807486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
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