Revivology
Revivology is a Clinic/Center in South Jordan, Utah. Licensed in Utah. Registered with an NPI since 2017.
- Licensed in
- UT
- In the registry since
- 2017
Practice location Address checks out
11464 S Parkway Plaza Dr Ste 300South Jordan, UT 84095-6052
Phone: (801) 987-8653
Fax: (801) 727-8177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence 9258138-1205 (UT) |
|---|
Record details
| NPI number | 1467988832 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Christopher Kelly — Medical Director/Owner · (801) 987-8653 |
| NPI enumerated | May 4, 2017 |
| Last updated in NPPES | May 4, 2017 |
| Mailing address | 11464 S Parkway Plaza Dr, Suite 300, South Jordan, UT 84095-6052 |
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