Individual
DENIS REAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
800 E 1ST ST, SUITE 1700, ANKENY, IA 50021-2077
(515) 643-8100
(515) 643-8139
Mailing address
PO BOX 1475, DES MOINES, IA 50306-1475
(515) 643-8100
(515) 643-8139
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1761
IA
207Q00000X
Family Medicine Physician
Primary
1761
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18674
MIDLANDS CHOICE
IA
05
—
3218214
—
IA
01
—
55926
WELLMARK BLUE SHIELD
IA
01
—
73076
COVENTRY
IA
Enumeration date
10/03/2006
Last updated
01/29/2010
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