Individual
DAVID REVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
308 E MAIN ST, MILTON, WV 25541-1508
(304) 743-4444
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10966
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000178444
ANTHEM
WV
01
—
00123438
RR MEDICARE
WV
01
—
001709560
MT. STATE
WV
05
—
0049623000
—
WV
05
—
0796652
—
OH
Enumeration date
01/23/2006
Last updated
09/16/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us