Organization
REVITALIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN JOWETT MD, PHD (DIRECTOR)
(480) 520-3223
Entity
Organization
Contact information
Practice address
7600 E CAMELBACK RD STE 7, SCOTTSDALE, AZ 85251-2106
(480) 520-3223
(480) 847-3223
Mailing address
7600 E CAMELBACK RD STE 7, SCOTTSDALE, AZ 85251-2106
(480) 520-3223
(480) 847-3223
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
—
—
Other
Enumeration date
03/21/2025
Last updated
04/02/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us