institution
Revive Medical Of San Diego
General Practice Physician in San Diego, California
NPI 1114484573

Revive Medical Of San Diego is a General Practice Physician based in San Diego, CA. Revive Medical Of San Diego practices in San Diego, CA. The NPI Number for Revive Medical Of San Diego is 1114484573 and holds a License No. (California).

The current practice location address for Revive Medical Of San Diego is 7220 Trade St Ste 209, San Diego, CA and can be reached out via phone at 858-800-1006.

Location: 7220 Trade St Ste 209, San Diego, CA, 92121-2326
institution
Provider Profile Details
NPI Number
1114484573
Provider Name
Revive Medical Of San Diego
Credential
Provider Entity Type
Organization
Address
7220 Trade St Ste 209, San Diego, CA, 92121-2326
Phone Number
858-800-1006
Fax Number
Provider Enumeration Date
02/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7220 Trade St Ste 209
City
State
Zip
92121-2326
Phone Number
858-800-1006
Fax Number
person
Provider Business Mailing Address Details
Address
7220 Trade St Ste 209
City
State
Zip
92121-2326
Phone Number
858-800-1006
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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