IVAN REVERON, M.D.
Family Medicine
Active
Individual
NPI: 1750393781
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | MD60063800 (WA) |
Frequently Asked Questions
NPI 1750393781 is the National Provider Identifier for IVAN REVERON, M.D., a Family Medicine provider located in Spokane, WA. This NPI was enumerated on August 11, 2006.
IVAN REVERON, M.D. practices at 5901 N LIDGERWOOD ST STE 126, Spokane, WA 99208.
Quick Facts
- NPI
- 1750393781
- Type
- Individual
- Enumerated
- Aug 11, 2006
- Last Updated
- Jul 26, 2012
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