REVIVOLOGY

Clinic/Center · SOUTH JORDAN, UT

Organization Active NPI 1467988832

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Clinic/Center261Q00000X9258138-1205UT

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.

REVIVOLOGY — NPI 1467988832