NPI 1023306859

Thomas John Revak, DO

Practitioner Orthopaedic Surgery Physician Saint Louis, MO

Practice location

Address: 1008 South Spring Avenue Orthopaedic Surgery, Slucare Administrative Pavillion F, Saint Louis, MO 63110-2539
Phone: (314) 977-5350

Registered specialties (2)

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 2015015073 (MO)

Other Orthopaedic Surgery providers in Missouri →

Orthopaedic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence OT014391 (PA)

Registry record

NPI: 1023306859
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jul 2011
Record last updated: 1 Mar 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.