Organization · Type 2 NPI
Revive MD PLLC
Interventional Pain Medicine Physician · St. Paul, MN
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
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Interventional Pain Medicine Physician Primary | 208VP0014X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None 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.