Individual
DR. JENNIFER REBECCA REAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
595 CHAPEL HILLS DR STE 325, COLORADO SPRINGS, CO 80920-1061
(719) 364-4120
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4123
(970) 624-2416
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
52375
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71951776
—
CO
Enumeration date
08/31/2007
Last updated
06/04/2025
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