Individual
BRIAN REVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2123 AUBURN AVE, STE 404, CINCINNATI, OH 45219-2906
(513) 241-5630
(513) 241-7146
Mailing address
4600 MONTGOMERY RD, STE 105, CINCINNATI, OH 45212-2697
(513) 487-5305
(513) 487-5317
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35.093306
OH
Other
Enumeration date
05/29/2007
Last updated
01/16/2012
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