Organization
REVIVE HEALTH AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA CARDON (CLINIC MANAGER)
(479) 464-0840
Entity
Organization
Contact information
Practice address
5309 VILLAGE PKWY STE 3, ROGERS, AR 72758-8102
(479) 464-0840
Mailing address
5309 VILLAGE PKWY STE 3, ROGERS, AR 72758-8102
(479) 464-0840
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
E1940
AR
Other
Enumeration date
01/31/2013
Last updated
02/07/2013
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