Provider Demographics
NPI:1730147711
Name:PEUGH, WILLIAM NOEL (MD, DPHIL)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:NOEL
Last Name:PEUGH
Suffix:
Gender:M
Credentials:MD, DPHIL
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1159 E 200 N
Mailing Address - Street 2:SUITE 350
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-2022
Mailing Address - Country:US
Mailing Address - Phone:801-772-1975
Mailing Address - Fax:801-756-5091
Practice Address - Street 1:1159 E 200 N
Practice Address - Street 2:SUITE 350
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-2022
Practice Address - Country:US
Practice Address - Phone:801-772-1975
Practice Address - Fax:801-756-5091
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT51150451205208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT227213OtherDMBA
UT51150451200001OtherREGENCE BLUE CROSS BLUE S
UTQM0000058146OtherALTIUS
ID8067944OtherIDAHO MEDICAID
UT107011409102OtherINTERMOUNTAIN HEALTHCARE
UT47235OtherPEHP
UT043651337PE1OtherEDUCATORS MUTUAL
UT107011409101OtherUNITED HEALTH CARE
UT51150451200001OtherREGENCE BLUE CROSS FEDERA
UT043651337PE1OtherEDUCATORS MUTUAL