Organization
REVEAL MEDSPA
Active
Other names
Reveal Medical Spa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANTELLE ELMER NP (OWNER/PROVIDER)
(801) 367-6049
Entity
Organization
Contact information
Practice address
814 S 1040 W, PAYSON, UT 84651-4614
(385) 551-2929
Mailing address
969 S 640 E, PAYSON, UT 84651-1628
(801) 367-6049
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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