PD REVIVAL MEDICAL, PLLC
Clinic/Center - Mental Health (Including Community Mental Health Center)
Active
Organization
NPI: 1124764030
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | No | - |
| Nurse Practitioner - Psychiatric/Mental Health | 363LP0808X | No | - |
| Nurse Anesthetist, Certified Registered | 367500000X | No | - |
| Marriage & Family Therapist | 106H00000X | No | - |
| Clinic/Center - Mental Health (Including Community Mental Health Center) | 261QM0801X | Yes | - |
Frequently Asked Questions
NPI 1124764030 is the National Provider Identifier for PD REVIVAL MEDICAL, PLLC, a Clinic/Center - Mental Health (Including Community Mental Health Center) provider located in Helena, MT. This NPI was enumerated on May 12, 2022.
Quick Facts
- NPI
- 1124764030
- Type
- Organization
- Enumerated
- May 12, 2022
- Last Updated
- Oct 16, 2024
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PATRICK ALDUENDA, PA-C
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MARK KREISBERG, MD
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ANDEELYN WARDELL, NP
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JOHN RIBIC, DO
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