Organization
REVITAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MEURET (OWNER/CEO)
(314) 254-2420
Entity
Organization
Contact information
Practice address
101 MAIN ST, SUITE 2300 B, FESTUS, MO 63028-1977
(314) 254-2420
(636) 933-9177
Mailing address
101 MAIN ST, SUITE 2300 B, FESTUS, MO 63028-1977
(314) 254-2420
(636) 933-9177
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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