Individual
VICTORIA SEFCSIK-REVELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
420 POLIFKA DR, SHAW AFB, SC 29152-5100
(803) 985-6587
(803) 895-6063
Mailing address
420 POLIFKA DR, SHAW AFB, SC 29152-5100
(702) 653-2273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2024035186
MO
208D00000X
General Practice Physician
Primary
2024035186
MO
390200000X
Student in an Organized Health Care Education/Training Program
SL2104
NV
Other
Enumeration date
03/06/2023
Last updated
07/07/2026
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