Organization
REVENGE MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDIN ABDAGIC NP (MEDICAL DIRECTOR / OWNER)
(702) 690-1633
Entity
Organization
Contact information
Practice address
343 ELM ST STE 201, RENO, NV 89503-4538
(775) 470-6651
(775) 622-0788
Mailing address
343 ELM ST STE 201, RENO, NV 89503-4538
(775) 470-6651
(775) 622-0788
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
09/06/2022
Last updated
02/16/2023
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