institution
Revive Medical Llc
General Practice Physician in Oklahoma City, Oklahoma
NPI 1528578499

Revive Medical Llc is a General Practice Physician based in Oklahoma City, OK. Revive Medical Llc practices in Oklahoma City, OK. The NPI Number for Revive Medical Llc is 1528578499 and holds a License No. (Oklahoma).

The current practice location address for Revive Medical Llc is 4215 N Classen Blvd Ste 103, Oklahoma City, OK and can be reached out via phone at 951-440-1652.

Location: 4215 N Classen Blvd Ste 103, Oklahoma City, OK, 73118-2431
institution
Provider Profile Details
NPI Number
1528578499
Provider Name
Revive Medical Llc
Credential
Provider Entity Type
Organization
Address
4215 N Classen Blvd Ste 103, Oklahoma City, OK, 73118-2431
Phone Number
951-440-1652
Fax Number
Provider Enumeration Date
10/05/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4215 N Classen Blvd Ste 103
City
State
Zip
73118
Phone Number
951-440-1652
Fax Number
person
Provider Business Mailing Address Details
Address
4215 N Classen Blvd Ste 103
City
State
Zip
73118
Phone Number
951-440-1652
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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