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NPI Code Detail

MEDICARE: ROBERT R REVERS M.D

MEDICARE: ROBERT R REVERS M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RE0101XEndocrinology, Diabetes & Metabolism PhysicianG49775CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100G497750OTHERCATRICARE PROVIDER NUMBER

General Provider Information

NPI Number : 1598762718
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT R REVERS M.D
Provider Business Mailing Address
First Line : 355 ABBOTT ST STE 100
Second Line :
City : SALINAS
State : CA
Zip : 93901-4484
Country : US
Telephone Number : 831-649-1000
Fax Number : 831-649-4962
Provider Business Practice Location Address
First Line : 355 ABBOTT ST STE 100
Second Line :
City : SALINAS
State : CA
Zip : 93901-4484
Country : US
Telephone Number : 831-751-7070
Fax Number : 831-751-7050
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 05/11/2018

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