Individual
MRS. TERRI Z REVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 N KOOTENAI DR, TROY, MT 59935
(406) 291-3014
(800) 878-7249
Mailing address
P.O. BOX 352, TROY, MT 59935-0352
(406) 291-3014
(800) 878-7249
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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