# THE ADDICTION MEDICINE PHYSICIANS GROUP, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1790273704
- **Authorized official:** MR. TERRELL LEE SELLERS M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (801) 859-8092

## Contact information

- **Practice address:** 9160 S 300 E. STE 25, SANDY, UT 84070
- **Practice address phone:** (801) 859-8092
- **Practice address fax:** (844) 965-9279
- **Mailing address:** 9160 S. 300 E STE 25, SANDY, UT 84070
- **Mailing address phone:** (801) 859-8092
- **Mailing address fax:** (844) 965-9279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WA0400X | Addiction (Substance Use Disorder) Registered Nurse | 311613-3102 | UT | — |
| 207LA0401X | Addiction Medicine (Anesthesiology) Physician | 293281-1205 | UT | Yes |

## Other

- **Enumeration date:** 04/25/2018
- **Last updated:** 04/25/2018