Organization · Type 2 NPI

Revivology

Clinic/Center · South Jordan, UT

NPI number 1467988832 Active

Practice location

11464 S Parkway Plaza Dr, Suite 300
South Jordan, UT 84095-6052

Call (801) 987-8653 Map

Fax (801) 727-8177

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X9258138-1205 (UT)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1467988832

Revivology's National Provider Identifier is 1467988832, issued on May 4, 2017. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in South Jordan, UT. The record was last updated on May 4, 2017.