Stephen A Reville
MD | Pediatrics | Male
Stephen A Reville, MD is a Tacoma, Washington based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Stephen A Reville is
315 Martin Luther King Jr Way, Tacoma, Washington - 98405-4234. He can be contacted on phone at
253-403-4538.
Stephen A Reville is a sole proprietor of his business.
NPI number (Unique professional ID) for Stephen A Reville is
1336115898 which was assigned by NPPES on 24 Feb, 2006 and it was last updated on 10 Nov, 2011.
Stephen A Reville license number is
MD60232582 for Pediatrics (208000000X) in Washington.
Stephen A Reville is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Stephen A Reville basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Stephen A Reville |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Stephen A Reville address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 315 Martin Luther King Jr Way
Tacoma, WA, 98405-4234
United States |
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| Phone Number : | 253-403-4538 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1336115898 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Feb, 2006 |
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| Last Updated On : | 10 Nov, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stephen A Reville are as mentioned. Primary taxonomy code for Stephen A Reville, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 0420010398 | VT |
| 208000000X | Pediatrics | Yes | MD60232582 | WA |
Legacy Identifiers:
Other legacy medical identifiers of Stephen A Reville such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1008983 | MEDICAID | VT | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 315 Martin Luther King Jr Way
Tacoma, WA, 98405-4234
United States |
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| Phone Number : | 253-403-4538 |
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Business Location:
Patients can refer following map for directions to
Stephen A Reville practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.