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

REVITALIZE PAIN AND SPINE LLC

Active Organization

REVITALIZE PAIN AND SPINE LLC is a Vascular Surgery organization located in MESA, Arizona. NPI 1346848090 is currently active in the NPPES registry. Verify at CMS.

Vascular Surgery · MESA, AZ

Registration Details

NPI Number
1346848090
Provider Type
Organization
NPI Issued
Oct 14, 2020 (5.8298022988097 yrs)
Last Updated
Oct 14, 2020

Practice Information

Address
4838 E BASELINE RD STE 110
MESA, AZ, 852064674
Browse AZ providers · Browse ZIP 85206
Phone
4802102641
Fax
4802102642
Primary Specialty
Vascular Surgery
208VP0000X
Additional Specialty
Nurse Practitioner
Additional Specialty
Vascular Surgery
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.