OrganizationActive
Acqua Medical LLC
NPI 1427580448 · Addiction Medicine (Family Medicine) Physician · Midway, UT
Provider details
- NPI number
- 1427580448
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Clint Tolman, Administrative Director
Practice location
100 N Johnson Mill Rd
Midway, UT 84049-6764
Phone: (844) 654-3700
Fax: (801) 926-1133
Mailing address
1031 S Douglas St
Salt Lake City, UT 84105-1505
Registry dates
- Enumerated
- 2017-03-29
- Last updated
- 2018-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.