Thomas John Revak, DO

NPI #1023306859 in Saint Louis, Missouri

Provider Information

NPI Number: 1023306859
Entity Type: Individual
Name: Thomas John Revak, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Credential: DO
Enumeration Date: Jul 13, 2011
Last Updated: Mar 1, 2021

Practice Location

Address: 1008 SOUTH SPRING AVENUE
Address 2: ORTHOPAEDIC SURGERY, SLUCARE ADMINISTRATIVE PAVILLION F
City: Saint Louis
State: Missouri
ZIP Code: 63110-2539
Phone: (314) 977-5350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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