# REVIVAL HYPERBARICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013760586
- **Authorized official:** MR. WREN EVAN MURRAY (CEO/OWNER)
- **Authorized official phone:** (208) 251-7799

## Contact information

- **Practice address:** 11649 S 4000 W STE 110, SOUTH JORDAN, UT 84009-6039
- **Practice address phone:** (208) 251-7799
- **Mailing address:** 11649 S 4000 W STE 110, SOUTH JORDAN, UT 84009-6039
- **Mailing address phone:** (208) 251-7799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | NULL | Yes |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/08/2024
- **Last updated:** 10/16/2024