Organization
UTAH ADDICTION MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SIMPSON MD (OWNER)
(801) 852-9440
Entity
Organization
Contact information
Practice address
619 N 500 W, PROVO, UT 84601-1547
(801) 852-9440
Mailing address
619 N 500 W, PROVO, UT 84601-1547
(801) 852-9440
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
02/28/2018
Last updated
03/17/2018
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