NPI 1346832953

Revive MD PLLC

Organisation Interventional Pain Medicine Physician Saint Paul, MN

Practice location

Address: 821 Raymond Ave STE 230, Saint Paul, MN 55114-1503
Phone: (651) 746-4412
Mailing address: 7595 Currell Blvd Unit 25404, Woodbury, MN 55125-2569

Authorised official

Name: Alfonso Morales
Title: Owner
Phone: (651) 476-4412

Registered specialties (3)

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Other Pain Medicine providers in Minnesota →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Minnesota →

Substance Use Disorder Rehabilitation Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QR0405X

Other Clinic/Center providers in Minnesota →

Registry record

NPI: 1346832953
Entity type: Organization
NPI issued: 4 Feb 2021
Record last updated: 4 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.