| Revitalize and Optimize Clinic | |
|
906 W University Ave Ste 150 Flagstaff AZ 86001-2603 | |
| (928) 248-8082 | |
| (855) 930-4003 |
| Full Name | Revitalize and Optimize Clinic |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 906 W University Ave Ste 150, Flagstaff, Arizona |
| Authorized Official Name and Position | Phillip Casey Dubravcic (OWNER/OPERATOR/CEO) |
| Authorized Official Contact | 9282488082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revitalize and Optimize Clinic 906 W University Ave Ste 150 Flagstaff AZ 86001-2603 Ph: (928) 248-8082 | Revitalize and Optimize Clinic 906 W University Ave Ste 150 Flagstaff AZ 86001-2603 Ph: (928) 248-8082 |
| NPI Number | 1831946656 |
|---|---|
| Provider Enumeration Date | 04/30/2024 |
| Last Update Date | 04/30/2024 |
| Certification Date | 04/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831946656 | NPI | - | NPPES |
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