Individual
DR. STEVEN D RAVERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
212 CHESTNUT ST, SUNBURY, PA 17801-2711
(570) 286-8873
(570) 286-8125
Mailing address
212 CHESTNUT ST, SUNBURY, PA 17801-2711
(570) 286-8873
(570) 286-8125
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC001722L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001638462
—
PA
01
—
0666660001
DME
PA
Enumeration date
06/22/2006
Last updated
11/09/2014
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