Search › Illinois › 1710I1003X
D'Mario Revere, IDMT
NPI 1275954125 · on the registry since 2013
Practice
- Address
- 4465 George Washington Dr
Scott Afb, IL 62225 - Phone
- (678) 551-5369
Registry record
- Primary taxonomy
- 1710I1003X
1710I1003X
- Sex
- Male
- Record last updated
- 2013-12-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois