| Pure Life Ptg | |
|
7390 S Creek Rd Ste 202 Sandy UT 84093-6123 | |
| (801) 893-2550 | |
| Not Available |
| Full Name | Pure Life Ptg |
|---|---|
| Speciality | Psychologist - Addiction (substance Use Disorder) |
| Location | 7390 S Creek Rd Ste 202, Sandy, Utah |
| Authorized Official Name and Position | John Lund (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8016643741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Life Ptg 14218 S Canyon Vine Cv Draper UT 84020-5631 Ph: (801) 878-9597 | Pure Life Ptg 7390 S Creek Rd Ste 202 Sandy UT 84093-6123 Ph: (801) 893-2550 |
| NPI Number | 1003323767 |
|---|---|
| Provider Enumeration Date | 01/03/2018 |
| Last Update Date | 01/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003323767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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