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Organization
EAST WEST HEALTH PLEASANT GROVE LLC
Active
Organization
EAST WEST HEALTH PLEASANT GROVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGAN ARCHIBALD (OWNER)
(435) 640-1353
Entity
Organization
Contact information
Practice address
11020 N 5500 W # 101, HIGHLAND, UT 84003-9643
(801) 829-7772
Mailing address
471 E 1000 S STE C, PLEASANT GROVE, UT 84062-3694
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
NULL
171100000X
Acupuncturist
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
Other
Enumeration date
09/15/2019
Last updated
07/07/2020
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