Individual
SCOTT REVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5880 N HOSPITAL DR., GLOBE, AZ 85501
(284) 253-2169
Mailing address
305 QUAIL DR, LAFAYETTE, LA 70508-6125
(337) 501-0880
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
67567
AZ
Other
Enumeration date
04/04/2017
Last updated
03/11/2024
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