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Organization
REVITALIZE MEDICAL GROUP, LTD
Active
Organization
REVITALIZE MEDICAL GROUP, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L. SCOTT MD (EXECUTIVE LEADER)
(330) 493-4443
Entity
Organization
Contact information
Practice address
1 PARK WEST BLVD, SUITE 210, AKRON, OH 44320-4218
(330) 493-4443
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
(330) 493-8677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
NULL
207VG0400X
Gynecology Physician
—
—
Other
Enumeration date
04/30/2013
Last updated
05/01/2013
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