Revolutionary Services LLC
NPI #1518082122 in Fort Mohave, Arizona
Provider Information
- NPI Number
- 1518082122
- Entity Type
- Organization
- Organization Name
- Revolutionary Services LLC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Mar 20, 2007
- Last Updated
- Mar 1, 2024
Practice Location
- Address
- 5130 S HIGHWAY 95
- City
- Fort Mohave
- State
- Arizona
- ZIP Code
- 86426-9374
- Phone
- (928) 768-2811
Authorized Official
- Name
- DR. ALLEN EARL STOUT, D.C., F.N.P.-C
- Title
- MANAGER
- Phone
- (928) 768-2811
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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