| Revive Md Pllc | |
|
821 Raymond Ave Ste 230 Saint Paul MN 55114-1503 | |
| (651) 746-4412 | |
| Not Available |
| Full Name | Revive Md Pllc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 02/04/2021 |
| Last Update Date | 02/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346832953 | NPI | - | NPPES |
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