Organization
PINNACLE RECOVERY IOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTINA GIAQUINTO (BILLING MANAGER)
(801) 502-7808
Entity
Organization
Contact information
Practice address
9176 S 300 W STE 6, SANDY, UT 84070-2669
(801) 259-7533
(833) 585-5302
Mailing address
9102 S 300 W, SANDY, UT 84070-2643
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
96322409120
UT
Other
Enumeration date
02/26/2017
Last updated
12/23/2020
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