Individual
DAVID REAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 556-3729
Mailing address
6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
(214) 687-0496
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2018024764
MO
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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