NPI | 1538867999 |
---|---|
Doing Business As | REVERE HEALTH |
Entity Type | Organization |
Authorized Contact | JED BRADLEY HARSTON Director Of Managed Care 801-812-5012 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Enumeration Date | 2023-02-15 |
Last Update Date | 2023-02-15 |