| Life Fusion LLC | |
|
440 Medical Dr Ste 3 Bountiful UT 84010-5174 | |
| (801) 698-3710 | |
| (801) 823-0225 |
| Full Name | Life Fusion LLC |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 440 Medical Dr Ste 3, Bountiful, Utah |
| Authorized Official Name and Position | Tory Hinkle (CO-FOUNDER) |
| Authorized Official Contact | 8016983710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Fusion LLC 242 Lewis Park Cir Bountiful UT 84010-5742 Ph: (801) 698-3710 | Life Fusion LLC 440 Medical Dr Ste 3 Bountiful UT 84010-5174 Ph: (801) 698-3710 |
| NPI Number | 1710637871 |
|---|---|
| Provider Enumeration Date | 03/24/2022 |
| Last Update Date | 03/24/2022 |
| Certification Date | 03/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710637871 | NPI | - | NPPES |
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