| NPI | 1093764805 |
|---|---|
| Doing Business As | REVERE HEALTH |
| Entity Type | Organization |
| Authorized Contact | SCOTT D BARLOW Chief Execuitive Officer 801-429-8034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2018-03-07 |