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Contact Information

THE ADDICTION MEDICINE PHYSICIANS GROUP, LLC
9160 S 300 E. STE 25
SANDY, UT84070
 Phone: 801-859-8092
 Fax: 844-965-9279
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

207LA0401X 05 Physician/Anesthesiology
 

Addiction (Substance Use Disorder)

163WA0400X
Indicates primary specialty

NPI Profile & details for THE ADDICTION MEDICINE PHYSICIANS GROUP, LLC

NPI # 1790273704
LBN Legal business name THE ADDICTION MEDICINE PHYSICIANS GROUP, LLC
Authorized official TERRELL SELLERS - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/25/2018
Last updated 04/25/2018 - About 8 years ago
Identifiers
UT License # 293281-1205
UT License # 311613-3102
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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