| NPI | 1760752943 |
|---|---|
| Doing Business As | REVERE HEALTH |
| Entity Type | Organization |
| Authorized Contact | JED HARSTON Director Of Manged Care 801-812-5012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2021-05-27 |