| NPI | 1093764805 |
|---|---|
| Doing Business As | REVERE HEALTH |
| Entity Type | Organization |
| Authorized Contact | JED HARSTON Director Of Managed Care 801-812-5012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2025-09-02 |