Revive Health and Wellness LLC
NPI #1528742814 in Casa Grande, Arizona
Provider Information
- NPI Number
- 1528742814
- Entity Type
- Organization
- Organization Name
- Revive Health and Wellness LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jun 15, 2023
- Last Updated
- Jun 25, 2025
Practice Location
- Address
- 1550 E FLORENCE BLVD STE 104
- City
- Casa Grande
- State
- Arizona
- ZIP Code
- 85122-4788
- Phone
- (520) 483-6386
Authorized Official
- Name
- DIANE HERRERA
- Title
- PRACTICE MANAGER
- Phone
- (520) 483-1698
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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