| Life Health Regeneration Llc | |
|
1770 E Fort Union Blvd Ste 101 Salt Lake City UT 84121-2881 | |
| (801) 997-8881 | |
| (801) 944-5910 |
| Full Name | Life Health Regeneration Llc |
|---|---|
| Speciality | General Practice |
| Location | 1770 E Fort Union Blvd Ste 101, Salt Lake City, Utah |
| Authorized Official Name and Position | Matthew Wood (OWNER) |
| Authorized Official Contact | 8014506940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Health Regeneration Llc 1770 E Fort Union Blvd Ste 101 Salt Lake City UT 84121-2881 Ph: (801) 997-8881 | Life Health Regeneration Llc 1770 E Fort Union Blvd Ste 101 Salt Lake City UT 84121-2881 Ph: (801) 997-8881 |
| NPI Number | 1215595871 |
|---|---|
| Provider Enumeration Date | 05/30/2019 |
| Last Update Date | 05/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215595871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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