Organization
KICK THE HABIT ADDICTION MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JOEL BUSH MD (CEO)
(949) 237-2874
Entity
Organization
Contact information
Practice address
74 S 360 E, AMERICAN FORK, UT 84003-2590
(949) 237-2874
(844) 240-9439
Mailing address
74 S 360 E, AMERICAN FORK, UT 84003-2590
(949) 237-2874
(844) 240-9439
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
03/05/2019
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