Organization
REVERE HEALTH PC
Active
Organization
REVERE HEALTH PC
Active
Other names
Revere Health
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH HOYT (BUSINESS OFFICE DIRECTOR)
(801) 354-8225
Entity
Organization
Contact information
Practice address
555 W SR 164, SALEM, UT 84653
(801) 429-8000
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2006
Last updated
06/15/2026
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