| Axis Rejuvenation Llc | |
|
100 Bosa Dr Ste A Saint Robert MO 65584-4833 | |
| (573) 337-4568 | |
| (573) 336-2256 |
| Full Name | Axis Rejuvenation Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 100 Bosa Dr Ste A, Saint Robert, Missouri |
| Authorized Official Name and Position | Daniel Draper (PARTNER) |
| Authorized Official Contact | 8019535323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Axis Rejuvenation Llc 100 Bosa Dr Ste A Saint Robert MO 65584-4833 Ph: (801) 953-5323 | Axis Rejuvenation Llc 100 Bosa Dr Ste A Saint Robert MO 65584-4833 Ph: (573) 337-4568 |
| NPI Number | 1972085371 |
|---|---|
| Provider Enumeration Date | 08/31/2018 |
| Last Update Date | 12/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972085371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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