Organization
STEVEN D.RAVERT D.P.M.
Active
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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