Rejuvenation Medspa
Rejuvenation Medspa is a Family Medicine Physician in Bridgeport, West Virginia. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
1400 Johnson Ave Ste 4ABridgeport, WV 26330-1063
Phone: (304) 848-9998
Fax: (304) 848-9996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1780158287 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Timothy Peasak — Owner/Provider · (304) 841-1293 |
| NPI enumerated | January 17, 2019 |
| Last updated in NPPES | January 17, 2019 |
| Mailing address | 1400 Johnson Ave Ste 4a, Bridgeport, WV 26330-1063 |
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