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ACQUA MEDICAL LLC

Organization (NPI-2) Active

Family Medicine, Addiction Medicine

Provider Information

NPI Number
1427580448
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
100 N JOHNSON MILL RD, MIDWAY, UT, 840496764
Phone
(844) 654-3700
Fax
(801) 926-1133

Specialties & Taxonomies

Psychiatry & Neurology, Addiction Medicine
Family Medicine, Addiction Medicine Primary License: UT #293281-1205

All Addresses

MAILING

1031 S DOUGLAS ST

SALT LAKE CITY, UT, 841051505

LOCATION

100 N JOHNSON MILL RD

MIDWAY, UT, 840496764

(844) 654-3700