| NPI | 1659912905 |
|---|---|
| Doing Business As | IV REVIVE PLUS |
| Entity Type | Organization |
| Authorized Contact | PAUL S WEINBERG Medical Director 907-442-3321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |