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Organization

RESTORATION MEDICAL GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANA HULL (OWNER/CEO)
(208) 704-2645
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
09/30/2025
Last updated
09/30/2025
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