Lone Peak Family Medicine

LBN: David B Jack Md Pc
Lone Peak Family Medicine is an health care organization with primary practice located at 11760 S 700 E Ste 111 , Draper UT 84020-6605. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. David B Jack Md Pc can be contacted via phone (801) 576-8855, or through Jack, David B via phone (801) 576-8855.

Contact Information

Primary practice address
11760 S 700 E Ste 111 Draper UT 84020-6605
Phone: (801) 576-8855
Fax: (801) 576-9800
Website:
Map and Directions
Authorized official contact:
Name: Jack, David B Doctor of Medicine (MD)
Phone: (801) 576-8855

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1760528137
LBN Legal business name David B Jack Md Pc
DBA Doing business as Lone Peak Family Medicine
Authorized official Jack, David B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 6th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers