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Contact Information

RESTORE MEDICAL GROUP HOLDINGS LLC
1309 COFFEEN AVE STE 1200
SHERIDAN, WY82801-5777
 Phone: 720-678-9868
 Fax: 720-678-9860
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Specialist

174400000X
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for RESTORE MEDICAL GROUP HOLDINGS LLC · (Female)

NPI Number 1174262034
Status Active
Credentials
Entity Individual
Enumeration date 05/31/2022
Last updated 11/25/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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