Shannon Peck, PA-C

NPI #1346531928 in American Fork, Utah

Provider Information

NPI Number: 1346531928
Entity Type: Individual
Name: Shannon Peck, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 29, 2011
Last Updated: Apr 29, 2011

Practice Location

Address: 1159 E 200 N
Address 2: #250
City: American Fork
State: Utah
ZIP Code: 84003-2022
Phone: (801) 855-2980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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