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Organization
REVIVE MEDICAL URGENT CARE LLC
Active
Organization
REVIVE MEDICAL URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BROWN DC (OWNER)
(951) 440-1652
Entity
Organization
Contact information
Practice address
4215 N CLASSEN BLVD STE 100, OKLAHOMA CITY, OK 73118-2426
(405) 673-7856
(619) 374-7045
Mailing address
PO BOX 57390, OKLAHOMA CITY, OK 73157-7390
(405) 603-4901
(405) 936-0561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
NULL
Other
Enumeration date
08/06/2019
Last updated
11/12/2019
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