Organization · Type 2 NPI
White Tree Medical Consultants LLC
Addiction Medicine (Family Medicine) Physician · South Jordan, UT
NPI number
1497204903
Active
Practice location
10437 S Jordan Gtwy
South Jordan, UT 84095
Fax (801) 335-5957
Mailing address
PO Box 709391
Sandy, UT 84070-9391
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | None listed |
| Family Medicine Physician | 207Q00000X | None listed |
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
| Mental Illness Intermediate Care Facility | 310500000X | None listed |
| Substance Abuse Rehabilitation Facility | 324500000X | None listed |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
4 other providers at this address
- On Call DocAddiction Medicine (Family Medicine) Physician South Jordan, UT NPI 1598005340
- Bryan Vern Sonntag, MDPlastic Surgery Physician South Jordan, UT NPI 1558418673
- Charles Olin Canfield, MDAddiction Medicine (Family Medicine) Physician South Jordan, UT NPI 1023199825
- Patricia Anne Major Willardson, APRNPsychiatric/Mental Health Nurse Practitioner South Jordan, UT NPI 1891551370
Other addiction medicine (family medicine) physician providers in South Jordan
About NPI 1497204903
White Tree Medical Consultants LLC's National Provider Identifier is 1497204903, issued on Sep 26, 2016. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in South Jordan, UT. The record was last updated on Aug 27, 2018.