# QUINTESSENCE HEALTH AND WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659974293
- **Authorized official:** ADAM LARSON MD (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (801) 930-9381

## Contact information

- **Practice address:** 12340 S 450 E, DRAPER, UT 84020-8154
- **Practice address phone:** (801) 930-9381
- **Practice address fax:** (385) 275-5200
- **Mailing address:** 12340 S 450 E, DRAPER, UT 84020-8154
- **Mailing address phone:** (801) 930-9381
- **Mailing address fax:** (385) 275-5200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/17/2020
- **Last updated:** 09/28/2022