Organization · Type 2 NPI
Mobile Vivitrol, LLC
Addiction Medicine (Family Medicine) Physician · Draper, UT
NPI number
1033742994
Active
Practice location
13032 Snow Crest Cr
Draper, UT 84020
Mailing address
PO Box 639
Draper, UT 84020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | None listed |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
About NPI 1033742994
Mobile Vivitrol, LLC's National Provider Identifier is 1033742994, issued on Feb 19, 2020. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Draper, UT. The record was last updated on Mar 12, 2021.