Organization
INNOVATIVE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BEESLEY (PARTNER)
(385) 449-0565
Entity
Organization
Contact information
Practice address
850 E 9400 S STE 101, SANDY, UT 84094-4114
(385) 449-0565
Mailing address
850 E 9400 S STE 101, SANDY, UT 84094-4114
(385) 449-0565
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
—
—
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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