| NPI | 1467520437 |
|---|---|
| Doing Business As | RENEWMD |
| Entity Type | Organization |
| Authorized Contact | JUSTIN RODNEY JOHNSEN Owner 801-424-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: UT 6139294-1205) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |