NPI | 1326665829 |
---|---|
Doing Business As | RENEW HEALTH OF UTAH |
Entity Type | Organization |
Authorized Contact | AARON KETCHER Owner 480-215-9003 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Enumeration Date | 2020-06-30 |
Last Update Date | 2020-12-02 |