REVIVAL SPINE SURGERY LLC

SAINT LOUIS, MO
NPI1972005676
Entity TypeOrganization
Authorized ContactLUKASZ CURYLO
Md/President
314-690-8383
Organization Subpart ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
Enumeration Date2018-03-08
Last Update Date2018-07-01
Business Address
REVIVAL SPINE SURGERY LLC
621 S NEW BALLAS RD STE 589A
SAINT LOUIS, MO 63141
Phone number: 314-690-8383
Mailing Address
REVIVAL SPINE SURGERY LLC
621 S NEW BALLAS RD STE 589A
SAINT LOUIS, MO 63141-8261
Phone number: