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Organization
THE ADDICTION MEDICINE PHYSICIANS GROUP, LLC
Active
Organization
THE ADDICTION MEDICINE PHYSICIANS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRELL LEE SELLERS M.D. (MEDICAL DIRECTOR)
(801) 859-8092
Entity
Organization
Contact information
Practice address
9160 S 300 E. STE 25, SANDY, UT 84070
(801) 859-8092
(844) 965-9279
Mailing address
9160 S. 300 E STE 25, SANDY, UT 84070
(801) 859-8092
(844) 965-9279
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
311613-3102
UT
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
293281-1205
UT
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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