| Revitalife Wellness Center LLC | |
|
777 S New Ballas Rd Ste 100e Saint Louis MO 63141-8705 | |
| (314) 913-5861 | |
| Not Available |
| Full Name | Revitalife Wellness Center LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 777 S New Ballas Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Christina Robins (PRESIDENT) |
| Authorized Official Contact | 3149135861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revitalife Wellness Center LLC 11402 Oxbridge Ct Saint Louis MO 63146-5491 Ph: (314) 913-5861 | Revitalife Wellness Center LLC 777 S New Ballas Rd Ste 100e Saint Louis MO 63141-8705 Ph: (314) 913-5861 |
| NPI Number | 1104185685 |
|---|---|
| Provider Enumeration Date | 05/03/2012 |
| Last Update Date | 05/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104185685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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