Restore Medical Group Holdings LLC

NPI #1174262034 in Sheridan, Wyoming

Provider Information

NPI Number: 1174262034
Entity Type: Organization
Organization Name: Restore Medical Group Holdings LLC
Primary Specialty: Internal Medicine
Enumeration Date: May 31, 2022
Last Updated: Nov 25, 2022

Practice Location

Address: 1309 COFFEEN AVE STE 1200
City: Sheridan
State: Wyoming
ZIP Code: 82801-5777
Phone: (720) 678-9868

Authorized Official

Name: SHAWN BARRIEAU
Title: OWNER
Phone: (970) 729-2727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse - Wound Care — Wound Care	163WW0000X
Specialist	174400000X
Family Medicine	207Q00000X
Nurse Practitioner	363L00000X
Internal Medicine	207R00000X	Primary

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