Revolution Neurotesting Pllc
NPI #1790543833 in Mercer Island, Washington
Provider Information
- NPI Number
- 1790543833
- Entity Type
- Organization
- Organization Name
- Revolution Neurotesting Pllc
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Mar 12, 2024
- Last Updated
- Mar 12, 2024
Practice Location
- Address
- 2737 78TH AVE SE STE 100
- City
- Mercer Island
- State
- Washington
- ZIP Code
- 98040-2843
- Phone
- (206) 695-2707
Authorized Official
- Name
- DR. RICHARD E REPASS, MD
- Title
- OWNER
- Phone
- (206) 695-2707
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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