| NPI | 1255916987 |
|---|---|
| Doing Business As | REVIVE COMMUNITY HEALTH LLC |
| Entity Type | Organization |
| Authorized Contact | MICAH PHILIPS COO 602-717-8599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 208600000X Surgery | |
| 363LF0000X Nurse Practitioner, Family | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2025-11-26 |