REVIV PLLC is a general practice in Fargo, ND. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee REVIV PLLC NPI is 1114595824. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
3029 BRANDT DR S STE A
FARGO, ND
ZIP 58104-140
Phone: (701) 566-5306
The provider's authorized official is Laura Lisa Job .
The authorized official title is Operations Manager and has the following contact phone number (701) 526-6530.
The enumeration date for this NPI number is 6/17/2021 and was last updated on 6/21/2021.