Organization · Type 2 NPI

Revive MD PLLC

Interventional Pain Medicine Physician · St. Paul, MN

NPI number 1346832953 Active

Practice location

821 Raymond Ave Ste 230
St. Paul, MN 55114-1503

Mailing address

7595 Currell Blvd Unit 25404
Woodbury, MN 55125-2569

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Interventional Pain Medicine Physician Primary 208VP0014XNone listed
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405XNone listed

Interventional Pain Medicine Physician: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

3 other providers at this address

About NPI 1346832953

Revive MD PLLC's National Provider Identifier is 1346832953, issued on Feb 4, 2021. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in St. Paul, MN. The record was last updated on Feb 4, 2021.