Individual
SARAH REVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3050 MACK RD, FPC - ML 11032, FAIRFIELD, OH 45014-5379
(513) 636-8259
(513) 636-6419
Mailing address
3050 MACK RD, FPC - ML 11032, FAIRFIELD, OH 45014-5379
(513) 636-8259
(513) 636-6419
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35093349
OH
Other
Enumeration date
06/13/2007
Last updated
06/28/2012
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