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1972005676
REVIVAL SPINE SURGERY LLC
SAINT LOUIS, MO
NPI
1972005676
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Entity Type
Organization
Authorized Contact
LUKASZ CURYLO
Md/President
314-690-8383
Organization Subpart ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
Enumeration Date
2018-03-08
Last Update Date
2018-07-01
Business Address
REVIVAL SPINE SURGERY LLC
621 S NEW BALLAS RD STE 589A
SAINT LOUIS, MO 63141
Phone number: 314-690-8383
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Mailing Address
REVIVAL SPINE SURGERY LLC
621 S NEW BALLAS RD STE 589A
SAINT LOUIS, MO 63141-8261
Phone number:
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