Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin James Peck

Individual provider Physician Assistant · NPI 1659855575

Justin James Peck is a Physician Assistant in Murray, Utah. Qualified in 2018, 8 years ago. Practices with The Orthopedic Clinic Lc, an 18-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
8
Licensed in
UT
In the registry since
2018
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Practice location Address checks out

5171 S Cottonwood St Ste 740
Murray, UT 84107-5705
Phone: (801) 567-9780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10973530-1206 (UT)

Record details

NPI number1659855575
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 17, 2018
Last updated in NPPESFebruary 7, 2020
Certification dateFebruary 7, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice The Orthopedic Clinic Lc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Murray