| Biorestoration Medical | |
|
12340 S 450 E Draper UT 84020-8154 | |
| (801) 501-9797 | |
| Not Available |
| Full Name | Biorestoration Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 12340 S 450 E, Draper, Utah |
| Authorized Official Name and Position | Jeffrey S Nelson (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8015019797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Biorestoration Medical 12340 S 450 E Draper UT 84020-8154 Ph: (801) 501-9797 | Biorestoration Medical 12340 S 450 E Draper UT 84020-8154 Ph: (801) 501-9797 |
| NPI Number | 1902286297 |
|---|---|
| Provider Enumeration Date | 06/02/2015 |
| Last Update Date | 06/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902286297 | NPI | - | NPPES |
| 1619961315 | Other | UT | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 6543672-8906 (Utah) | Primary |
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