Reviv Pllc is a General Practice Physician based in Fargo, ND. Reviv Pllc practices in Fargo, ND. The NPI Number for Reviv Pllc is 1114595824 and holds a License No. (North Dakota).
The current practice location address for Reviv Pllc is 3029 Brandt Dr S Ste A, Fargo, ND and can be reached out via phone at 701-566-5306.
Location: 3029 Brandt Dr S Ste A, Fargo, ND, 58104-9140
Provider Profile Details
NPI Number
1114595824
Provider Name
Reviv Pllc
Credential
Provider Entity Type
Organization
Address
3029 Brandt Dr S Ste A, Fargo, ND, 58104-9140
Phone Number
701-566-5306
Fax Number
Provider Enumeration Date
06/17/2021
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
3029 Brandt Dr S Ste A
City
State
Zip
58104-9140
Phone Number
701-566-5306
Fax Number
Provider Business Mailing Address Details
Address
3029 Brandt Dr S Ste A
City
State
Zip
58104-9140
Phone Number
701-566-5306
Fax Number
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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