NPI | 1841433927 |
---|---|
Doing Business As | REVERE HEALTH |
Entity Type | Organization |
Authorized Contact | JED HARSTON Director Of Managed Care 801-812-5012 |
Organization Subpart ? | No |
Primary Taxonomy | 208800000X Urology |
Enumeration Date | 2009-04-20 |
Last Update Date | 2018-03-07 |