Mobile Vivitrol, LLC

NPI #1033742994 in Draper, Utah

Provider Information

NPI Number
1033742994
Entity Type
Organization
Organization Name
Mobile Vivitrol, LLC
Primary Specialty
Family Medicine - Addiction Medicine
Enumeration Date
Feb 19, 2020
Last Updated
Mar 12, 2021

Practice Location

Address
13032 SNOW CREST CR
City
Draper
State
Utah
ZIP Code
84020
Phone
(801) 898-7778

Authorized Official

Name
MARK G. RICHARDS
Title
OWNER
Phone
(801) 898-7778

Specialties & Taxonomy Codes

Specialty
Family Medicine - Addiction MedicineAddiction Medicine

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