HomeNPI Verification

NPI Verification

National Provider Identifier: 1427580448

Acqua Medical LLC

Organization

Primary Specialty

Family Medicine, Addiction Medicine

Code: 207QA0401X

All Specialties (2)

Psychiatry & Neurology, Addiction Medicine

Code: 2084A0401X

Family Medicine, Addiction Medicine

Code: 207QA0401X

Primary

Practice Address

1031 S DOUGLAS ST

SALT LAKE CITY, UT 841051505

NPI Enumeration Date

March 29, 2017

NPI Number

1427580448

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry