NPI | 1174642102 |
---|---|
Doing Business As | REVERE HEALTH |
Entity Type | Organization |
Authorized Contact | JED HARSTON Director Of Managed Care 801-812-5012 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
Enumeration Date | 2007-03-29 |
Last Update Date | 2018-03-07 |