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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REVITALIFE WELLNESS CENTER LLC

Active Organization

REVITALIFE WELLNESS CENTER LLC is a Family Medicine organization located in SAINT LOUIS, Missouri. NPI 1104185685 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SAINT LOUIS, MO

Registration Details

NPI Number
1104185685
Provider Type
Organization
NPI Issued
May 3, 2012 (14.30302195754 yrs)
Last Updated
May 23, 2012

Practice Information

Address
777 S NEW BALLAS RD
STE 100E
SAINT LOUIS, MO, 631418705
Browse MO providers · Browse ZIP 63141
Phone
3149135861
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Organizations in SAINT LOUIS, MO

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.