Join our Physician Directory Form

Join the ZEO Provider Directory

By joining the ZEO ScientifiX Provider Directory, your practice gains access to patient education materials, in-office marketing resources, and dedicated support to help integrate regenerative biologics into your workflow. Once your onboarding is complete, your practice will appear in our searchable directory by state and specialty.
Section 1: Provider Information
Name*

First NameLast Name
Suffix / Credentials
Examples: MD, DO, PA-C, NP-C, DPM, DC, PhD, FACOG, FACS
NPI Number*
Role / Title
My Specialties

NeuroMedical AestheticsAge Management & LongevityPain Management SpecialistUrology & Sexual WellnessRegenerative Medicine SpecialistOrthopedic SpecialistSports Medicine DoctorOther
About Me (optional)

0/300
Headshot (Optional)

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Section 2: Practice Information
Practice / Clinic Name *
Email*
example@example.com
Practice Phone*

Area CodePhone Number
Practice Address*

Street Address

Street Address Line 2

CityState

Zip Code
Show address in directory?*

YESNO
Section 3: Directory Eligibility and Support
Do you currently use ZEO ScientifiX products?*

YESNO
Preferred Contact Method
Practice Logo (Optional)

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Section 1: Provider Information