Organization · Type 2 NPI

Reviv PLLC

General Practice Physician · Fargo, ND

NPI number 1114595824 Active

Practice location

3029 Brandt Dr S Ste A
Fargo, ND 58104-9140

Call (701) 566-5306 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed
Health Service Clinic/Center 261QH0100XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

2 other providers at this address

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About NPI 1114595824

Reviv PLLC's National Provider Identifier is 1114595824, issued on Jun 17, 2021. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fargo, ND. The record was last updated on Feb 4, 2025.