# RESTORATION MEDICAL GROUP LLC

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

## Provider details

- **NPI number:** 1689548042
- **Authorized official:** JANA HULL (OWNER/CEO)
- **Authorized official phone:** (208) 704-2645

## Contact information

- **Practice address:** 104 S FREYA ST STE 209, SPOKANE, WA 99202-4866
- **Practice address phone:** (208) 704-2645
- **Practice address fax:** (877) 376-4040
- **Mailing address:** 320 E NEIDER AVE STE 103, COEUR D ALENE, ID 83815-6007
- **Mailing address phone:** (208) 704-2645
- **Mailing address fax:** (877) 376-4040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/30/2025
- **Last updated:** 09/30/2025