Revive Medical Urgent Care Llc
Family Medicine Physician in Oklahoma City, OK(View on Map)
Legal Business Name
Revive Medical Urgent Care Llc
NPI Number
1447805544
NPI Type
Organization
Enumeration Date
08/06/2019
Specialties
(Taxonomies)Code
207Q00000X
261QU0200X
Primary Taxonomy
Yes
No
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 57390
4215 N CLASSEN BLVD STE 100
City
Oklahoma City
Oklahoma City
State
OK
OK
Postal Code
73157-7390
73118-2426
Country
US
US
Telephone Number
(405) 603-4901
(405) 673-7856
Authorized Official
Name
Kevin Brown
Title or Position
OWNER
Telephone Number
(951) 440-1652
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/12/2019
Provider Address
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