Organization
THE ADDICTION MEDICINE PHYSICIANS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRELL LEE SELLERS M.D. (MEDICAL DIRECTOR)
(801) 859-8092
Entity
Organization
Contact information
Practice address
9160 S 300 E. STE 25, SANDY, UT 84070
(801) 859-8092
(844) 965-9279
Mailing address
9160 S. 300 E STE 25, SANDY, UT 84070
(801) 859-8092
(844) 965-9279
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
311613-3102
UT
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
293281-1205
UT
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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