| NPI | 1932249299 |
|---|---|
| Doing Business As | LONE PEAK PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | DUSTIN B. WISE Owner 801-492-7851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 5247966-1205) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |