BONNIE CAUKINS REVELLE

NORFOLK, VA
NPI1225087349
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: VA  0101240729)
Additional Taxonomies208000000X Pediatrics
(Licence: VA  0101240729)
208000000X Pediatrics
(Licence: NC  27288)
Enumeration Date2006-05-08
Last Update Date2020-05-14
Business Address
Dr. BONNIE CAUKINS REVELLE MD
601 CHILDRENS LN
NORFOLK, VA 23507-1910
Phone number: 757-668-7456
Mailing Address
Dr. BONNIE CAUKINS REVELLE MD
811 REDGATE AVE
NORFOLK, VA 23507-1515
Phone number: 757-668-7007