Mobile Vivitrol, LLC
Mobile Vivitrol, LLC is an Addiction Medicine (Family Medicine) Physician in Draper, Utah. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
13032 Snow Crest CrDraper, UT 84020
Phone: (801) 898-7778
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction Medicine (Family Medicine) Physician (primary) | Taxonomy 207QA0401X |
|---|
Record details
| NPI number | 1033742994 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Richards — Owner · (801) 898-7778 |
| NPI enumerated | February 19, 2020 |
| Last updated in NPPES | March 12, 2021 |
| Certification date | March 12, 2021 |
| Mailing address | Po Box 639, Draper, UT 84020 |