Provider Demographics
NPI:1497243414
Name:DOTERRA EMPLOYEE HEALTH SYSTEMS, LLC
Entity Type:Organization
Organization Name:DOTERRA EMPLOYEE HEALTH SYSTEMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF HEALTHCARE
Authorized Official - Prefix:
Authorized Official - First Name:BRANNICK
Authorized Official - Middle Name:BARTON
Authorized Official - Last Name:RIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:385-440-1400
Mailing Address - Street 1:1364 PLEASANT GROVE BLVD.
Mailing Address - Street 2:FLOOR 3
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062
Mailing Address - Country:US
Mailing Address - Phone:385-440-1400
Mailing Address - Fax:801-845-9965
Practice Address - Street 1:1364 PLEASANT GROVE BLVD.
Practice Address - Street 2:FLOOR 3
Practice Address - City:PLEASANT GROVE
Practice Address - State:UT
Practice Address - Zip Code:84062
Practice Address - Country:US
Practice Address - Phone:385-440-1400
Practice Address - Fax:801-845-9965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-25
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5181855-1205207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty