Organization
REVIVAL HYPERBARICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WREN EVAN MURRAY (CEO/OWNER)
(208) 251-7799
Entity
Organization
Contact information
Practice address
11649 S 4000 W STE 110, SOUTH JORDAN, UT 84009-6039
(208) 251-7799
Mailing address
11649 S 4000 W STE 110, SOUTH JORDAN, UT 84009-6039
(208) 251-7799
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
10/16/2024
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