| Pd Revival Medical, Pllc | |
|
3130 Saddle Dr Suite 6b Helena MT 59601-8644 | |
| (307) 272-0843 | |
| Not Available |
| Full Name | Pd Revival Medical, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3130 Saddle Dr Suite 6b, Helena, Montana |
| Authorized Official Name and Position | Hanna Powers (PMHNP) |
| Authorized Official Contact | 3072720843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pd Revival Medical, Pllc 3130 Saddle Dr Stuite 6 Helena MT 59601-8644 Ph: (307) 272-0843 | Pd Revival Medical, Pllc 3130 Saddle Dr Suite 6b Helena MT 59601-8644 Ph: (307) 272-0843 |
| NPI Number | 1124764030 |
|---|---|
| Provider Enumeration Date | 05/12/2022 |
| Last Update Date | 10/16/2024 |
| Certification Date | 10/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124764030 | NPI | - | NPPES |
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