Organization
MEDICAL REVOLUTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART WILSON (DIRECTOR)
(303) 520-2599
Entity
Organization
Contact information
Practice address
215 UNION BLVD, SUITE 300, LAKEWOOD, CO 80228-1839
(303) 520-2599
Mailing address
215 UNION BLVD, SUITE 300, LAKEWOOD, CO 80228-1839
(303) 520-2599
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
CO
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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