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NPI Profile for SILVER PEAK MEDICAL LLC in SALT LAKE CITY, UT.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
207RA0401X | 11 | Physician/Internal Medicine | |
Addiction (Substance Use Disorder) |
103TA0400X | 62 | Psychologist, Clinical | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine |
| NPI # | 1265899009 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/25/2016 | |
| Last updated | 01/25/2016 - About 10 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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SILVER PEAK MEDICAL LLC
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SILVER PEAK MEDICAL LLC