REVERE HEALTH PC

PROVO, UT
NPI1093764805
Entity TypeOrganization
Authorized ContactJED HARSTON
Director Of Managed Care
801-812-5012
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center Multi-Specialty
Enumeration Date2006-05-09
Last Update Date2025-09-02
Business Address
REVERE HEALTH PC
1055 N 500 W
PROVO, UT 84604-3305
Phone number: 801-429-8000
Mailing Address
REVERE HEALTH PC
1055 N 500 W CREDENTIALING DEPARTMENT
PROVO, UT 84604-3305
Phone number: 801-354-8225
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