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Organization

EAST WEST HEALTH PLEASANT GROVE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REGAN ARCHIBALD (OWNER)
(435) 640-1353
Entity
Organization

Contact information

Practice address
11020 N 5500 W # 101, HIGHLAND, UT 84003-9643
(801) 829-7772
Mailing address
471 E 1000 S STE C, PLEASANT GROVE, UT 84062-3694

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
208100000X
Physical Medicine & Rehabilitation Physician
Primary
208D00000X
General Practice Physician

Other

Enumeration date
09/15/2019
Last updated
07/07/2020
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