REVIVE MD PLLC NPI 1346832953

NPI Information

REVIVE MD PLLC is an interventional pain medicine pain medicine in Saint Paul, MN. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. REVIVE MD PLLC NPI is 1346832953. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

821 RAYMOND AVE STE 230
SAINT PAUL, MN
ZIP 55114-503
Phone: (651) 746-4412

The provider's authorized official is Alfonso Morales .
The authorized official title is Owner and has the following contact phone number (651) 476-4412.

The enumeration date for this NPI number is 2/4/2021 and was last updated on 2/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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