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Revivology
Clinic/Center in South Jordan, Utah
NPI 1467988832

Revivology is a Clinic/Center based in South Jordan, UT. Revivology practices in South Jordan, UT. The NPI Number for Revivology is 1467988832 and holds a License No. 9258138-1205 (Utah).

The current practice location address for Revivology is 11464 S Parkway Plaza Dr, South Jordan, UT and can be reached out via phone at 801-987-8653 and via fax at 801-727-8177. You can also correspond with Revivology through the mailing address at 11464 S PARKWAY PLAZA DR, SOUTH JORDAN, UT - 84095-6052 (mailing address contact number: 801-987-8653).

Location: 11464 S Parkway Plaza Dr, South Jordan, UT, 84095-6052
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467988832
Provider Name
Revivology
Credential
Provider Entity Type
Organization
Address
11464 S Parkway Plaza Dr, South Jordan, UT, 84095-6052
Phone Number
801-987-8653
Fax Number
801-727-8177
Provider Enumeration Date
05/04/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11464 S Parkway Plaza Dr
City
South Jordan
State
Utah
Zip
84095-6052
Phone Number
801-987-8653
Fax Number
801-727-8177
person
Provider Business Mailing Address Details
Address
11464 S Parkway Plaza Dr
City
South Jordan
State
Utah
Zip
84095-6052
Phone Number
801-987-8653
Fax Number
801-727-8177
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
9258138-1205 (Utah)
Definition
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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