D'mario Revere, IDMT

NPI #1275954125 in Scott Afb, Illinois

Provider Information

NPI Number
1275954125
Entity Type
Individual
Name
D'mario Revere, IDMT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Medical Technicians
Credential
IDMT
Enumeration Date
Dec 19, 2013
Last Updated
Dec 19, 2013

Practice Location

Address
4465 GEORGE WASHINGTON DR
ZIP Code
62225-6000
Phone
(678) 551-5369

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty Medical TechniciansIndependent Duty Medical Technicians

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