Revive IV Hydration Therapy

NPI #1205534583 in Phoenix, Arizona

Provider Information

NPI Number
1205534583
Entity Type
Organization
Organization Name
Revive IV Hydration Therapy
Primary Specialty
Clinic/Center - Infusion Therapy
Enumeration Date
Feb 16, 2023
Last Updated
Feb 16, 2023

Practice Location

Address
4747 E ELLIOT RD # 109
State
Arizona
ZIP Code
85044-1627
Phone
(480) 876-1148

Authorized Official

Name
SAMAH MOHAMED, M.S
Title
OWNER
Phone
(720) 935-1490

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Infusion TherapyInfusion Therapy

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