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

Primary Specialty

This is the specialty that will show under your name.

My Other Specialties

Top Procedures

Any procedures or terms patients search that you specialize or are important to your practice (I.e. Arthritis, Diabetic Foot Pain, Vampire Facelift, etc) -

About Me (optional)

0/300

Headshot

Browse Files

Acceptable formats: jpg, jpeg, png

Section 2: Practice Information

Practice / Clinic Name

Email (To receive leads)

This is where we will send any appointment requests from the directory

Practice Phone (For appointments)

Area CodePhone Number

Practice Address

Street Address

Street Address Line 2

CityState

Zip Code

Display practice address and map in directory?

Section 3: Directory Eligibility and Support

Do you currently use ZEO ScientifiX products?

Do you currently use Stem Cells in your practice? (We will indicate it on the directory)

Preferred Contact Method

Practice Logo (Optional)

Browse Files

Acceptable formats: jpg, jpeg, png, ai, svg, eps, pdf