Stephanie M Revels MD PA

NPI #1427350339 in Overland Park, Kansas

Provider Information

NPI Number: 1427350339
Entity Type: Organization
Organization Name: Stephanie M Revels MD PA
Primary Specialty: Point of Service
Enumeration Date: Nov 29, 2010
Last Updated: Jul 17, 2012

Practice Location

Address: 8249 W 95 TH STREET
Address 2: SUITE 108
City: Overland Park
State: Kansas
ZIP Code: 66212-3200
Phone: (913) 484-5052

Authorized Official

Name: STEPHANIE M REVELS, MD
Title: PHYSICIAN
Phone: (913) 484-5052

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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