Axis Rejuvenation LLC
NPI #1972085371 in Saint Robert, Missouri
Provider Information
- NPI Number
- 1972085371
- Entity Type
- Organization
- Organization Name
- Axis Rejuvenation LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Aug 31, 2018
- Last Updated
- Dec 30, 2019
Practice Location
- Address
- 100 BOSA DR STE A
- City
- Saint Robert
- State
- Missouri
- ZIP Code
- 65584-4833
- Phone
- (573) 337-4568
Authorized Official
- Name
- DANIEL DRAPER
- Title
- PARTNER
- Phone
- (801) 953-5323
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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