Revitalize Nutrition Corp
NPI #1306635537 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1306635537
- Entity Type
- Organization
- Organization Name
- Revitalize Nutrition Corp
- Primary Specialty
- Clinic/Center - Infusion Therapy
- Enumeration Date
- May 5, 2025
- Last Updated
- May 5, 2025
Practice Location
- Address
- 7308 N WESTERN AVE
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73116-7120
- Phone
- (405) 625-6488
Authorized Official
- Name
- DAVID MEYER, RN
- Title
- PRESIDENT
- Phone
- (405) 201-0001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Infusion Therapy — Infusion Therapy |
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