Organization
STEVEN D.RAVERT D.P.M.
Active
Other names
Steven D. Ravert D.P.M.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN D. RAVERT D.P.M. (PODIATRIST)
(570) 286-8873
Entity
Organization
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
332B00000X
Durable Medical Equipment & Medical Supplies
SC001722L
PA
335E00000X
Prosthetic/Orthotic Supplier
Primary
SC001722L
PA
Other
Enumeration date
02/10/2008
Last updated
11/15/2014
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