REVIVE SKIN INSTITUTE LLC

Procedural Dermatology Physician · CARBONDALE, IL

Organization Active NPI 1104178144

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Procedural Dermatology Physician207NS0135X036094335IL
Dermatology Physician207N00000X036094335IL

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.