Beth H. Revard, RT

NPI #1396025821 in Farmington Hills, Michigan

Provider Information

NPI Number: 1396025821
Entity Type: Individual
Name: Beth H. Revard, RT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Radiologic Technologist - Computed Tomography
Credential: RT
Enumeration Date: Aug 29, 2011
Last Updated: Aug 29, 2011

Practice Location

Address: 38878 POLO CLUB DR
Address 2: APT #102
City: Farmington Hills
State: Michigan
ZIP Code: 48335-5612
Phone: (248) 790-3920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiologic Technologist - Computed Tomography — Computed Tomography	2471C3401X	Primary

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