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Organization
REVOLUTION HEALTH MEDICAL CENTER, PC
Active
Organization
REVOLUTION HEALTH MEDICAL CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE A GORMAN NMD (CHIEF EXECUTIVE OFFICER)
(602) 265-1774
Entity
Organization
Contact information
Practice address
1641 E OSBORN RD, SUITE 6, PHOENIX, AZ 85016-7146
(602) 265-1774
(602) 265-1738
Mailing address
1641 E OSBORN RD, SUITE 6, PHOENIX, AZ 85016-7146
(602) 265-1774
(602) 265-1738
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
175F00000X
Naturopath
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
04/05/2007
Last updated
01/02/2015
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