Revival Spine Surgery Llc

LBN: Revival Spine Surgery Llc
Revival Spine Surgery Llc is an health care organization with primary practice located at 621 S New Ballas Rd Ste 589A , Saint Louis MO 63141. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Revival Spine Surgery Llc can be contacted via phone (314) 690-8383, or through Curylo, Lukasz via phone (314) 690-8383.

Contact Information

Primary practice address
621 S New Ballas Rd Ste 589A Saint Louis MO 63141
Phone: (314) 690-8383
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Curylo, Lukasz Doctor of Medicine (MD)
Phone: (314) 690-8383

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1972005676
LBN Legal business name Revival Spine Surgery Llc
DBA Doing business as
Authorized official Curylo, Lukasz Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2018
Last updated Jul 1st, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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