Organization
SYNAPTIC PSYCHIATRY LLC
Active
Other names
Revitalize and Optimize Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP CASEY DUBRAVCIC PMHNP (OWNER/OPERATOR/CEO)
(928) 248-8082
Entity
Organization
Contact information
Practice address
906 W UNIVERSITY AVE STE 150, FLAGSTAFF, AZ 86001-2603
(928) 248-8082
(855) 930-4003
Mailing address
906 W UNIVERSITY AVE STE 150, FLAGSTAFF, AZ 86001-2603
(928) 248-8082
(855) 930-4003
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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