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NPI Profile for THE ADDICTION MEDICINE PHYSICIANS GROUP LLC in SANDY, UT.
An anesthesiologist who specializes in the diagnosis and treatment of addictions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
207LA0401X | 05 | Physician/Anesthesiology | |
Addiction (Substance Use Disorder) |
163WA0400X |
| NPI # | 1790273704 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/25/2018 | |
| Last updated | 04/25/2018 - About 8 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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THE ADDICTION MEDICINE PHYSICIANS GROUP, LLC