Provider Demographics
NPI:1114101235
Name:WILLIAM JOSEPH PECHE, JR. M.D. P.L.L.C.
Entity Type:Organization
Organization Name:WILLIAM JOSEPH PECHE, JR. M.D. P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:PECHE
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:801-408-5930
Mailing Address - Street 1:324 TENTH AVE
Mailing Address - Street 2:SUITE 280
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84103-2853
Mailing Address - Country:US
Mailing Address - Phone:801-408-5930
Mailing Address - Fax:801-408-5259
Practice Address - Street 1:324 TENTH AVE
Practice Address - Street 2:SUITE 280
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84103-2853
Practice Address - Country:US
Practice Address - Phone:801-408-5930
Practice Address - Fax:801-408-5259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-26
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal SurgeryGroup - Single Specialty