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LONE PEAK FAMILY MEDICINE
NPI 1760528137
Family Medicine in Draper, UT

Active since January 30, 2007
11760 S 700 E STE 111, DRAPER, UT 84020(801) 576-8855(801) 576-9800 Get Directions Write a Review

NPPES record last updated: July 6, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lone Peak Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONE PEAK FAMILY MEDICINE (NPI 1760528137) is a healthcare organization registered as a family medicine in Draper, Utah and active in the NPI registry since January 2007. The organization lists David B Jack, President, as its authorized official.

NPPES Registry Identity

NPI1760528137
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDAVID B JACK MD PC
Location Address11760 S 700 E STE 111Draper, UT 84020-6605
Mailing Address11760 S 700 E Ste 111Draper, UT 84020-6605 · (801) 576-8855 · Fax (801) 576-9800
Phone(801) 576-8855
Fax(801) 576-9800
Organization SubpartNo
Authorized OfficialDavid B JackPresident · (801) 576-8855
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJuly 6, 2009
✔ NPI 1760528137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11760 S 700 E STE 111, Draper, UT 84020
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Other Names 1

Doing Business AsLone Peak Family Medicine

Other Identifiers 1

Medicare PIN000057745UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA COON NP-C
Nurse Practitioner (Family)
11760 S 700 E STE 111
DRAPER, UT 84020
Salt Lake County (019) 305-8648

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David B Jack MD PC's NPI number?

The NPI number for David B Jack MD PC is 1760528137. It was assigned to this organization in the NPPES registry on January 30, 2007. The provider is doing business as Lone Peak Family Medicine.

Where is David B Jack MD PC located?

David B Jack MD PC is located at 11760 S 700 E Ste 111, Draper, UT 84020. The listed phone number is (801) 576-8855.

What is David B Jack MD PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for David B Jack MD PC was last updated on July 6, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.