OrganizationActive
Peak Ent Associates
NPI 1346489036 · Otolaryngology/Facial Plastic Surgery Physician · Provo, UT
Provider details
- NPI number
- 1346489036
- Entity type
- Organization
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tim Prusse, Administrator(801) 357-7499
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Audiologist231H00000X
Speech, Language and Hearing Service Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
- Otolaryngology Physician207Y00000X
Allopathic & Osteopathic Physicians
- Otolaryngic Allergy Physician207YX0602X
Allopathic & Osteopathic Physicians
Practice location
1055 N 300 W
Suite 401
Provo, UT 84604-3344
Phone: (801) 357-7499
Fax: (801) 373-5980
Approximate (ZIP-level) locationGet directions
Mailing address
1055 N 300 W
Provo, UT 84604-3344
Other names (DBA / former)
- Doing business as
- Thyroid Institute of Utah
Registry dates
- Enumerated
- 2009-02-19
- Last updated
- 2025-09-02
- Certified
- 2025-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.