Revital LLC
NPI #1386007763 in Chesterfield, Missouri
Provider Information
- NPI Number
- 1386007763
- Entity Type
- Organization
- Organization Name
- Revital LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Apr 1, 2016
- Last Updated
- Apr 1, 2016
Practice Location
- Address
- 124 CHESTERFILED TOWNE CTR
- City
- Chesterfield
- State
- Missouri
- ZIP Code
- 63005-1230
- Phone
- (314) 254-2400
Authorized Official
- Name
- KEVIN MEURET
- Title
- OWNER/CEO
- Phone
- (314) 254-2420
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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