Organization
LIFE HEALTH REGENERATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW WOOD DC (OWNER)
(801) 450-6940
Entity
Organization
Contact information
Practice address
1770 E FORT UNION BLVD STE 101, SALT LAKE CITY, UT 84121-2881
(801) 997-8881
(801) 944-5910
Mailing address
1770 E FORT UNION BLVD STE 101, SALT LAKE CITY, UT 84121-2881
(801) 997-8881
(801) 944-5910
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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