Revere Health PC
NPI #1093764805 in Provo, Utah
Provider Information
- NPI Number
- 1093764805
- Entity Type
- Organization
- Organization Name
- Revere Health PC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- May 9, 2006
- Last Updated
- Sep 2, 2025
Practice Location
Authorized Official
- Name
- JED HARSTON
- Title
- DIRECTOR OF MANAGED CARE
- Phone
- (801) 812-5012
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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