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MD CENTER FOR FACIAL REJUVENATION NPI 1467520437


NPI Information

NPI: 1467520437
Provider Name: MD CENTER FOR FACIAL REJUVENATION

Doing Business As: RENEWMD

Classification: Clinic/Center - 261QS0132X
Entity Type: Organization

Specialization: Ophthalmologic Surgery

Address:
6440 WASATCH BLVD
SUITE 390
SALT LAKE CITY, UT
ZIP 84121
Phone: (801) 424-3223
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MD CENTER FOR FACIAL REJUVENATION is an ophthalmologic surgery clinic center in Salt Lake City, UT. MD CENTER FOR FACIAL REJUVENATION NPI is 1467520437. The provider is registered as an organization entity type.
The provider Is Doing Business As Renewmd.

The provider's business location address is:

6440 WASATCH BLVD
SUITE 390
SALT LAKE CITY, UT
ZIP 84121-511
Phone: (801) 424-3223
Fax: (801) 424-3228

The provider's authorized official is Justin Rodney Johnsen .
The authorized official title is Owner and has the following contact phone number (801) 424-3223.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QS0132XClinic/CenterOphthalmologic Surgery6139294-1205UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.