OrganizationActive
Peak Plastic Surgery, PLLC
NPI 1477041101 · Plastic Surgery Physician · Draper, UT
Provider details
- NPI number
- 1477041101
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Denise Richards, Billing Manager
Practice location
11762 S State St Ste 320
Draper, UT 84020-7166
Phone: (801) 702-9191
Fax: (877) 326-3388
Mailing address
11762 S State St Ste 320
Draper, UT 84020-7166
Registry dates
- Enumerated
- 2018-04-27
- Last updated
- 2025-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.