REVIVOLOGY

Clinic/Center

Active Organization
NPI: 1467988832

Practice Address

11464 S PARKWAY PLAZA DR
SUITE 300
South Jordan, UT 84095

Phone: (801) 987-8653

Specialties

Specialty Code Primary License
Clinic/Center 261Q00000X Yes 9258138-1205 (UT)

Frequently Asked Questions

NPI 1467988832 is the National Provider Identifier for REVIVOLOGY, a Clinic/Center provider located in South Jordan, UT. This NPI was enumerated on May 4, 2017.

Quick Facts

NPI
1467988832
Type
Organization
Enumerated
May 4, 2017
Last Updated
May 4, 2017

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