OrganizationActive
Mobile Vivitrol, LLC
NPI 1033742994 · Addiction Medicine (Family Medicine) Physician · Draper, UT
Provider details
- NPI number
- 1033742994
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Richards, Owner(801) 898-7778
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
13032 Snow Crest Cr
Draper, UT 84020
Phone: (801) 898-7778
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 639
Draper, UT 84020
Registry dates
- Enumerated
- 2020-02-19
- Last updated
- 2021-03-12
- Certified
- 2021-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.