Individual
DR. CHRISTOPHER GARLAND REVELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
665 FREELAND COURT, ESTES PARK, CO 80517-9610
(860) 852-1064
Mailing address
665 FREELAND CT, ESTES PARK, CO 80517-9610
(801) 879-1102
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
DR.0048439
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
870571510-03
MEDICARE ID: 005551204
UT
Enumeration date
12/15/2005
Last updated
09/13/2016
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