| NPI | 1760528137 |
|---|---|
| Doing Business As | LONE PEAK FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DAVID B JACK President 801-576-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2009-07-06 |