MD Center for Facial Rejuvenation
MD Center for Facial Rejuvenation is an Ophthalmologic Surgery Clinic/Center in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2006.
- Licensed in
- UT
- In the registry since
- 2006
Practice location Address checks out
6440 Wasatch Blvd Ste 390Salt Lake City, UT 84121-3511
Phone: (801) 424-3223
Fax: (801) 424-3228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ophthalmologic Surgery Clinic/Center (primary) | Taxonomy 261QS0132X · Licence 6139294-1205 (UT) |
|---|
Record details
| NPI number | 1467520437 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Justin Johnsen — Owner · (801) 424-3223 |
| Other names | Renewmd |
| NPI enumerated | November 30, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 6440 Wasatch Blvd, Suite 390, Salt Lake City, UT 84121-3511 |
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