Organization · Type 2 NPI
Silver Peak Medical LLC
Addiction Medicine (Internal Medicine) Physician · Salt Lake City, UT
Practice location
1817 S Main St Ste 8
Salt Lake City, UT 84115-7060
Fax (435) 602-4405
Mailing address
6300 Sagewood Dr Ste 123
Park City, UT 84098-7502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 5633279 (UT) |
| Internal Medicine Physician | 207R00000X | 5633279 (UT) |
| Addiction Medicine (Internal Medicine) Physician Primary | 207RA0401X | 5633279 (UT) |
Addiction Medicine (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
About NPI 1265899009
Silver Peak Medical LLC's National Provider Identifier is 1265899009, issued on Jan 25, 2016. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in Salt Lake City, UT. The record was last updated on Jan 25, 2016.