Revive Md Pllc | |
821 Raymond Ave Ste 230 Saint Paul MN 55114-1503 | |
(651) 746-4412 | |
Not Available |
Full Name | Revive Md Pllc |
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Speciality | Pain Medicine - Interventional Pain Medicine |
Location | 821 Raymond Ave Ste 230, Saint Paul, Minnesota |
Authorized Official Name and Position | Alfonso Morales (OWNER) |
Authorized Official Contact | 6514764412 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Revive Md Pllc 7595 Currell Blvd Unit 25404 Woodbury MN 55125-2569 Ph: (612) 730-5196 | Revive Md Pllc 821 Raymond Ave Ste 230 Saint Paul MN 55114-1503 Ph: (651) 746-4412 |
NPI Number | 1346832953 |
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Provider Enumeration Date | 02/04/2021 |
Last Update Date | 02/04/2021 |
Identifier | Type | State | Issuer |
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1346832953 | NPI | - | NPPES |
Premiere Mental Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Sherman St Ste 290, Saint Paul, MN 55102 Phone: 763-913-8125 |