Individual
DR. JOHN FREDERICK REAVEY-CANTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 E MARSHALL ST, NEUROSURGERY, RICHMOND, VA 23298-5051
(804) 828-9165
(804) 828-0374
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101242977
VA
207T00000X
Neurological Surgery Physician
ME92657
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280197300
—
FL
Enumeration date
10/23/2006
Last updated
07/30/2008
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