Paul Revis, M.D.

NPI #1518984293 in Rockford, Illinois

Provider Information

NPI Number
1518984293
Entity Type
Individual
Name
Paul Revis, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dermatology
Credential
M.D.
Enumeration Date
Jul 17, 2006
Last Updated
Jan 16, 2017

Practice Location

Address
1055 FEATHERSTONE RD
ZIP Code
61107-5904
Phone
(815) 227-1055

Specialties & Taxonomy Codes

Specialty
Dermatology

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