Individual
RICHARD REAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-3447
Mailing address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-3447
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D70913
MD
Other
Enumeration date
01/30/2008
Last updated
07/19/2012
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