Organization · Type 2 NPI

Revival Spine Surgery LLC

Orthopaedic Surgery Physician · St. Louis, MO

NPI number 1972005676 Active

Practice location

621 S New Ballas Rd Ste 589A
St. Louis, MO 63141

Call (314) 690-8383 Map

Other practice locations

  • 1920 Sturfield Ct, St. Louis, MO 63131-1625 · (314) 435-5868

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician Primary 207X00000XNone listed

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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About NPI 1972005676

Revival Spine Surgery LLC's National Provider Identifier is 1972005676, issued on Mar 8, 2018. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 1, 2018.