Organization
PHYSICIANS TREATMENT GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY WESSON (CHIEF OPERATING OFFICER)
(801) 326-5180
Entity
Organization
Contact information
Practice address
4883 BOX ELDER ST, MURRAY, UT 84107-4730
(800) 990-0340
(877) 568-9195
Mailing address
4848 S COMMERCE DR, MURRAY, UT 84107
(801) 326-5180
(954) 337-0364
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/23/2011
Last updated
12/28/2016
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