Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Acqua Medical LLC

Organization Addiction Medicine (Family Medicine) Physician · NPI 1427580448

Acqua Medical LLC is an Addiction Medicine (Family Medicine) Physician in Midway, Utah. Licensed in Utah. Registered with an NPI since 2017.

Licensed in
UT
In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 N Johnson Mill Rd
Midway, UT 84049-6764
Phone: (844) 654-3700
Fax: (801) 926-1133
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0401X · Licence 293281-1205 (UT)
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X

Record details

NPI number1427580448
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clint Tolman — Administrative Director · (844) 654-3700
NPI enumeratedMarch 29, 2017
Last updated in NPPESJune 20, 2018
Mailing address1031 S Douglas St, Salt Lake City, UT 84105-1505

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