Organization
REVITALIZE NUTRITION CORP
Active
Organization
REVITALIZE NUTRITION CORP
Active
Other names
IV Nutrition
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MEYER RN (PRESIDENT)
(405) 201-0001
Entity
Organization
Contact information
Practice address
7308 N WESTERN AVE, OKLAHOMA CITY, OK 73116-7120
(405) 625-6488
Mailing address
7308 N WESTERN AVE, OKLAHOMA CITY, OK 73116-7120
(405) 625-6488
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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