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Organization
UTAH REGENERATIVE HEALTH AND AESTHETICS LLC
Active
Organization
UTAH REGENERATIVE HEALTH AND AESTHETICS LLC
Active
Other names
Regen Wound Care
Organization subpart
No
Provider details
NPI number
Authorized official
TYSON CATMULL (OWNER)
(801) 694-1743
Entity
Organization
Contact information
Practice address
12226 S 1000 E STE 8, DRAPER, UT 84020-3211
(801) 694-1743
Mailing address
6777 W DUSTIN CIR, HERRIMAN, UT 84096-6933
(801) 694-1743
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
01/20/2025
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