| Regenesys | |
|
1429 S 550 E #4 Orem UT 84097-7793 | |
| (801) 410-1671 | |
| Not Available |
| Full Name | Regenesys |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1429 S 550 E, Orem, Utah |
| Authorized Official Name and Position | Russell Gaede (DIRECTOR) |
| Authorized Official Contact | 8014101671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regenesys 1429 S 550 E #4 Orem UT 84097-7793 Ph: () - | Regenesys 1429 S 550 E #4 Orem UT 84097-7793 Ph: (801) 410-1671 |
| NPI Number | 1154714913 |
|---|---|
| Provider Enumeration Date | 03/17/2015 |
| Last Update Date | 03/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154714913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 268792-6004 (Utah) | Primary |
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