EMILY PECK PA
NPI 1881060523
Physician Assistant - Medical in Bountiful, UT
Active since August 17, 2015
About Emily Peck Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMILY PECK PA (NPI 1881060523) is an individual medical provider in Bountiful, Utah, licensed in Utah (9500978-1206) and active in the NPI registry since August 2015.
NPPES Registry Identity
NPI1881060523
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameEMILY PECKCredential: PA
Location Address425 MEDICAL DR, SUITE 205Bountiful, UT 84010-4945
Mailing Address2925 N Church St, Unit B301Layton, UT 84040-6593
Phone(801) 298-3812
Sole ProprietorNo
Enumeration DateAugust 17, 2015
✔ NPI 1881060523 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in UT · 9500978-1206
425 MEDICAL DR, Bountiful, UT 84010
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881060523, enumerated as an "individual" on August 17, 2015.
The provider is located at 425 MEDICAL DR SUITE 205 BOUNTIFUL, UT 84010 and the phone number is (801) 298-3812.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
