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

REVIV PLLC

Active Organization

REVIV PLLC is a General Practice organization located in FARGO, North Dakota. NPI 1114595824 is currently active in the NPPES registry. Verify at CMS.

General Practice · FARGO, ND

Registration Details

NPI Number
1114595824
Provider Type
Organization
NPI Issued
Jun 17, 2021 (4.9713005761844 yrs)
Last Updated
Feb 4, 2025

Practice Information

Address
3029 BRANDT DR S STE A
FARGO, ND, 581049140
Browse ND providers · Browse ZIP 58104
Phone
7015665306
Primary Specialty
General Practice
208D00000X
Additional Specialty
General Practice

Other General Practice Organizations in FARGO, ND

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.