| Revital LLC | |
|
124 Chesterfiled Towne Ctr Chesterfield MO 63005-1230 | |
| (314) 254-2400 | |
| (636) 933-9177 |
| Full Name | Revital LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 124 Chesterfiled Towne Ctr, Chesterfield, Missouri |
| Authorized Official Name and Position | Kevin Meuret (OWNER/CEO) |
| Authorized Official Contact | 3142542420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revital LLC 124 Chesterfiled Towne Ctr Chesterfield MO 63005-1230 Ph: (314) 254-2400 | Revital LLC 124 Chesterfiled Towne Ctr Chesterfield MO 63005-1230 Ph: (314) 254-2400 |
| NPI Number | 1386007763 |
|---|---|
| Provider Enumeration Date | 04/01/2016 |
| Last Update Date | 04/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386007763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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