Kick the Habit Addiction Medicine, LLC
NPI #1780154195 in American Fork, Utah
Provider Information
- NPI Number
- 1780154195
- Entity Type
- Organization
- Organization Name
- Kick the Habit Addiction Medicine, LLC
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Nov 28, 2018
- Last Updated
- Mar 5, 2019
Practice Location
- Address
- 74 S 360 E
- City
- American Fork
- State
- Utah
- ZIP Code
- 84003-2590
- Phone
- (949) 237-2874
Authorized Official
- Name
- ROBERT JOEL BUSH, MD
- Title
- CEO
- Phone
- (949) 237-2874
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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