Organization
MOTIVATIONAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HAWTHORNE KEEP MD (OWNER)
(801) 699-6977
Entity
Organization
Contact information
Practice address
621 E MAYOR PLACE DR, AMERICAN FORK, UT 84003-8015
(801) 699-6977
Mailing address
621 E MAYOR PLACE DR, AMERICAN FORK, UT 84003-8015
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2019
Last updated
12/30/2019
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