Regenesys

NPI 1154714913 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1154714913
Enumeration Date 03/17/2015
Last Updated 03/17/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name RUSSELL RUSSELL
Position DIRECTOR
Phone (801) 410-1671
Fax
Practice Location
1429 S 550 E
#4
OREM UT, 84097-7793, US
Phone (801) 410-1671
Fax
Business Location
1429 S 550 E
#4
OREM UT, 84097-7793, US
Phone
Fax
Toxanomy
Taxonomy Code 251S00000X
License State Utah
License Number 268792-6004
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According to our database, Regenesys NPI is 1154714913, taxonomy code is 251S00000X and license number is 268792-6004, license state is located at Utah. Regenesys physically located at 1429 S 550 E, Orem UT, 84097-7793. NPI Number 1033115704 has the healthcare provider type.

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1154714913 NPI number is provided on an as is basis without warranty of any kind. 1154714913 is maintained by the National Plan & Provider Enumeration System. The contents of Regenesys are for informational purposes only.